LISA ELIZABETH WORTHINGTON (PA-C) – Physician Assistant, NPI 1992174007
Physician Assistant
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for LISA ELIZABETH WORTHINGTON (PA-C)
914 S SCHEUBER RD
CENTRALIA, WA 985319027
Phone: (360) 827-8811
Fax: (360) 330-8969
Type: Location
PO BOX 3360
PORTLAND, OR 972083360
Phone:
Type: Mailing
2450 Riverside Ave
Minneapolis, MN 554541450
Phone: (612) 672-6000
Type: Location
914 S Scheuber Rd
Centralia, WA 985319027
Phone: (360) 827-8811
Fax: (360) 330-8969
Type: Location
4015 COUNTY ROAD 25 APT 320
SAINT LOUIS PARK, MN 554163495
Phone:
Type: Mailing
6401 FRANCE AVE S
EDINA, MN 55435
Phone: (952) 924-5000
Type: Location
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 554541450
Phone: (612) 672-6000
Type: Location
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: 2022-05-17
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 |
|---|---|---|---|---|
| I20220517000909 | I | Physician Assistant | MN | 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 |
|---|---|---|---|---|
| 99239 | Hospital discharge day management, more than 30 minutes | 22 | 22 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17 | 17 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | 16 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 98531)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | MN | |
| - | MN | |
| Family Practice | MN | |
| - | MO | |
| - | MN | |
| - | VA | |
| - | MN | |
| - | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN |
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