LISA MINER (P.A.C.) – Physician Assistant, NPI 1386692101
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for LISA MINER (P.A.C.)
11410 NE 124TH ST # PM702
KIRKLAND, WA 980344305
Phone: (425) 434-1500
Fax: (425) 977-9485
Type: Mailing
13317 NE 175TH ST STE N
WOODINVILLE, WA 980723517
Phone: (425) 434-1500
Fax: (425) 977-9485
Type: Location
3100, Carillon Point, Houghton, Kirkland, King County, Washington, 98033, United States
KIRKLAND, WA 980337306
Phone: (425) 576-1700
Fax: (425) 827-7725
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 72 Open Payments records for all available years, with a total value of $1,331.
Total Amount is formed as General ($1,331) + Research ($0) + Ownership ($0) = $1,331.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: GENZYME CORPORATION ($444).
Total Amount
$1,331
General + Research + Ownership
Payments
72
Total payment records
General Amount
$1,331
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $444 |
| ABBVIE INC. | $266 |
| Regeneron Healthcare Solutions, Inc. | $166 |
| Janssen Biotech, Inc. | $144 |
| E.R. Squibb & Sons, L.L.C. | $70 |
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: 2010-12-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101201000769 | I | Physician Assistant | WA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 210 | 39 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 121 | 82 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 87 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 86 | 62 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 82 | 59 | $0 |
Insurance plans in this area (ZIP 98034)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WA | 17003 | Destruction of 2-14 skin growths | 214 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | WA | |
| D E R M A T O L O G Y | OR | |
| D E R M A T O L O G Y | WA | |
| Physician Assistant | WA | |
| D E R M A T O L O G Y | WA | |
| Nurse Practitioner | WA | |
| D E R M A T O L O G Y | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | OR |
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