Individual provider Active NPI

Lisa L Reppert, ARNP

  • Acute Care Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1114278389
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP61690591 Issued in WA
Practice address
1959 NE Pacific St
Seattle, WA 98195-3403
Phone
(206) 520-5000
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN61687698 WA
Acute Care Nurse Practitioner 363LA2100X AP61690591 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
Seattle, WA 98195-3403

Mailing address

PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700

Other practice location 1

3601 The Vanderbilt Clinic
Nashville, TN 37232-3403
Phone (615) 322-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lreppert796507@direct.vumc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TN, SC, WA, MT5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20211027000571 NY Practitioner - Nurse Practitioner 4284887779 Reassigns benefits to 4 organizations
I20240201001952 TN Practitioner - Nurse Practitioner 4284887779
I20241126002965 SC Practitioner - Nurse Practitioner 4284887779 Reassigns benefits to 1 organization
I20250610002564 WA Practitioner - Nurse Practitioner 4284887779 Reassigns benefits to 1 organization
I20250903003436 MT Practitioner - Nurse Practitioner 4284887779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61690591WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Dec 1, 2025 Accepting new patients
Billings Clinic Current Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2025 Accepting new patients
Billings Clinic CurrentSince Aug 19, 2025 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Sep 1, 2021 Accepting new patients
Billings Clinic CurrentSince Aug 19, 2025 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Sep 1, 2021 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Feb 15, 2025 Accepting new patients
New York Medical Physician Associates PC CurrentSince Dec 1, 2024 Accepting new patients
The Association of University Physicians CurrentSince May 28, 2025 Accepting new patients
New York Medical Physician Associates PC CurrentSince Dec 1, 2024 Accepting new patients
CMSC, LLC CurrentSince Apr 7, 2026 Accepting new patients
Critical Care Physician of New York PC Nurse Practitioner CurrentSince Nov 1, 2024 Accepting new patients
Iha Health Service Corporation Past Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients
Great Falls Clinic LLC Past Accepting new patients
Iha Health Services Corporation Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

55 Palmer Ave
Fl 5
Bronxville, NY 10708
Phone (914) 787-2299

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

515 Main St
Olean, NY 14760
Phone (716) 373-2600

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Interoperability endpoints

  • Direct secure messaging: lir9112@direct.nyp.org
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lreppert796507@direct.vumc.org

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1114278389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-520-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981953403",
            "telephone_number": "206-520-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 The Vanderbilt Clinic",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372323403",
            "country_code": "US",
            "telephone_number": "615-322-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REPPERT",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "RN61687698",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP61690591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lreppert796507@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372323403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.