LISA MICHELLE GIBBONS (DO) – Obstetrics & Gynecology Physician, NPI 1366446270

LISA MICHELLE GIBBONS (DO) is a healthcare provider. based in Vancouver, Washington. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. OP00001992 (WA). The NPI Number for LISA MICHELLE GIBBONS (DO) is 1366446270

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
LISA MICHELLE GIBBONS (DO)
NPI
1366446270
Phone
(360) 433-0022
Address
14508 NE 20TH AVE
Enumeration Date
8 June 2005
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604871000
Graduation Year
2000 (26 years ago)
PAC ID
2769419902
Group Practice PAC ID
0446295711
Professional Enrollment ID
I20050720000205
Address ID
WA986862742VA2211XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,037 OBSTETRICS/GYNECOLOGY in WA

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Provider Addresses for LISA MICHELLE GIBBONS (DO)

  • Northeast 20th Avenue, Vancouver, Clark County, Washington, 98663, United States

    STE 300

    VANCOUVER, WA 986866418

    Phone: (360) 433-0022

    Fax: (360) 433-6159

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $219.

Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Astellas Pharma US Inc ($93).

Total Amount

$219

General + Research + Ownership

Payments

10

Total payment records

General Amount

$219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050720000205IObstetrics/GynecologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98686)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446295711View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationOR
Internal MedicineCA
Family PracticeWA
Nurse PractitionerCA
Neurology, Hospice/Palliative CareWA
Nurse PractitionerSD
-OR
-OR
General SurgeryOR
-OR

Reviews

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Frequently asked questions

What is the standard ID for LISA MICHELLE GIBBONS (DO) in the U.S.?
In the U.S., LISA MICHELLE GIBBONS (DO) is identified by NPI 1366446270.
Quick check: is LISA MICHELLE GIBBONS (DO) active?
Public NPPES data shows LISA MICHELLE GIBBONS (DO) with an active NPI status right now.
What type of care does LISA MICHELLE GIBBONS (DO) provide?
LISA MICHELLE GIBBONS (DO)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to LISA MICHELLE GIBBONS (DO)?
LISA MICHELLE GIBBONS (DO) shows a connection to Vancouver, Washington in registry-derived data.
Who maintains LISA MICHELLE GIBBONS (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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