MS. LISA C.S. ROOTVIK (ARNP) – Adult Health Nurse Practitioner, NPI 1528371564
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for MS. LISA C.S. ROOTVIK (ARNP)
7350 W DESCHUTES AVE STE A
KENNEWICK, WA 993367802
Phone: (509) 783-9894
Fax: (509) 737-3423
Type: Location
7350 W DESCHUTES AVE
BLDG A
KENNEWICK, WA 993367802
Phone: (509) 783-9894
Fax: (509) 737-3423
Type: Mailing
550 GAGE BLVD STE 101
RICHLAND, WA 993529532
Phone: (509) 942-3627
Fax: (509) 627-2983
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Verity Pharmaceuticals Inc. ($26).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Verity Pharmaceuticals Inc. | $26 |
| Janssen Biotech, Inc. | $16 |
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: 2014-01-02
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 |
|---|---|---|---|---|
| I20140102001544 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 223 | 178 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 75 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 99336)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | WA |
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