LISA MICHELE NOVOTNE (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1407128283

LISA MICHELE NOVOTNE (ARNP) is a healthcare provider. based in Seattle, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. RN60096415 (WA). The NPI Number for LISA MICHELE NOVOTNE (ARNP) is 1407128283

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
LISA MICHELE NOVOTNE (ARNP)
NPI
1407128283
Phone
Not provided
Address
2600 SW HOLDEN ST
Enumeration Date
8 February 2012
Last Update Date
8 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2069337000
Graduation Year
2011 (15 years ago)
PAC ID
9739344870
Group Practice PAC ID
4385545474
Professional Enrollment ID
I20120622000438
Address ID
WA981263505SE2600XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for LISA MICHELE NOVOTNE (ARNP)

  • 2600 SW HOLDEN ST

    SEATTLE, WA 981263505

    Phone:

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-06-22

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
I20120622000438INurse PractitionerWATBD

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 98126)

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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: 4385545474View full group profile
NameSpecialtyState
Nurse PractitionerOR
Nurse PractitionerWA
Nurse PractitionerWA
-NY
Mental Health CounselorWA
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Physician AssistantWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What unique ID ties claims to LISA MICHELE NOVOTNE (ARNP)?
NPI 1407128283 is assigned to LISA MICHELE NOVOTNE (ARNP) under the national enumeration system.
Is LISA MICHELE NOVOTNE (ARNP)'s NPI currently valid?
The extract we use shows LISA MICHELE NOVOTNE (ARNP) as active.
Does LISA MICHELE NOVOTNE (ARNP) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for LISA MICHELE NOVOTNE (ARNP). Clinical services aligned with this taxonomy classification.
Where is LISA MICHELE NOVOTNE (ARNP)'s primary listing?
We display Seattle, Washington because that is what the record indicates for LISA MICHELE NOVOTNE (ARNP).
What if Seattle, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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