Individual provider Active NPI

Lisa M Vangemert, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Madison, WI
National Provider Identifier
1225316219
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
60605 Issued in WI
Practice address
2550 University Ave
Apt 523
Madison, WI 53705-3830
Phone
(509) 993-8275
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 60605 WI Primary

Addresses

Primary practice location

2550 University Ave
Apt 523
Madison, WI 53705-3830

Mailing address

2550 University Ave
Apt 523
Madison, WI 53705-3830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160909000435 WA Practitioner - Pathology 8022339563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Creighton University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cellnetix Pathology PLLCGroup PAC ID 8224062971, 58 clinicians

Practice addresses (Care Compare)

12606 E Mission Ave
Spokane Valley, WA 99216-3421
Phone (509) 473-5000

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 640-4000

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-2000

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (425) 313-4000

800 W 5TH Ave
Spokane, WA 98204-2803
Phone (509) 458-5800

Hospital & facility affiliations

  • Deaconess Medical Center Hospital, Spokane, WA, CCN 500044
  • Multicare Valley Hospital Hospital, Spokane Valley, WA, CCN 500119
  • Three Rivers Hospital Hospital, Brewster, WA, CCN 501324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Nov 22, 2022 Accepting new patients
Cellnetix Pathology, PLLC CurrentSince Jul 20, 2016 Accepting new patients
Cellnetix Pathology, PLLC CurrentSince Jul 20, 2016 Accepting new patients
Multicare Health System CurrentSince Nov 22, 2022 Accepting new patients
Cellnetix Pathology, PLLC Current Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

401 15th Ave SE
Puyallup, WA 98372
Phone (253) 697-1848

1229 Madison St
Ste 820
Seattle, WA 98104
Phone (206) 215-2111

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1124 Columbia St
Ste 200
Seattle, WA 98104
Phone (206) 576-6050

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

12501 E Marginal Way S
Tukwila, WA 98168
Phone (206) 901-2200

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1225316219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE",
            "address_2": "APT 523",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE",
            "address_2": "APT 523",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053830",
            "telephone_number": "509-993-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGEMERT",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "WI",
            "license": "60605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.