Lisa Anne Brock, APRN-BC
Individual provider Active NPI Nurse Practitioner · Beaverton, OR
NPI 1255422366 · NPPES record last updated Dec 16, 2025
Key facts
- NPI
- 1255422366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 10037575 (OR)
- Practice address
- 6800 SW 105TH Ave
Beaverton, OR 97008-5468 - Phone
- (503) 430-1777
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Oregon Health Sciences University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CRM Physicians LLC
Practice addresses (Care Compare)
6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone (503) 430-1777
Hospital & facility affiliations
- Community Hospital of Anderson and Madison County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070426000475 | IN | Practitioner - Nurse Practitioner | 4486648474 | Reassigns benefits to 7 organizations |
| I20251114003243 | OR | Practitioner - Nurse Practitioner | 4486648474 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10037575 | OR | MD | Nurse Practitioner |
| 100375775 | OR | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRM Physicians, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Sound Physicians of Indiana, LLC | Current |
Accepting new patients | |
| Altea Medical Indiana PC | Current |
Accepting new patients | |
| Comprehensive Rehab Consultants PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Sound Physicians of Indiana, LLC | Current |
Accepting new patients | |
| Post Acute Medical PLLC | Current |
Accepting new patients | |
| Midwest Post Acute Care PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Provider Partners Care Management LP | Nurse Practitioner | Current |
Accepting new patients |
| Sound Physicians of Indiana, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
910 W Walnut St
Albany, IN 47320
Phone (765) 780-7066
4111 Park Place Dr
Fort Wayne, IN 46845
Phone (260) 373-2111
950 N Lakeview Dr
Greensburg, IN 47240
Phone (812) 662-7778
410 W Lagrange Rd
Hanover, IN 47243
Phone (812) 503-5071
4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279
3518 S Lafountain St
#3803
Kokomo, IN 46902
Phone (765) 453-4667
1750 S Creasy Ln
Lafayette, IN 47905
Phone (765) 447-6600
1001 N Grant St
Lebanon, IN 46052
Phone (765) 482-6400
1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
4301 N Walnut St
Muncie, IN 47303
Phone (765) 282-0053
4100 N Morrison Rd
Muncie, IN 47304
Phone (765) 212-3162
359 Randolph St
Parker City, IN 47368
Phone (765) 468-8280
3500 Maple Ave
Terre Haute, IN 47804
Phone (812) 238-1555
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
6800 SW 105th Ave
Beaverton, OR 97008
6800 SW 105th Ave
Ste 206
Beaverton, OR 97008
650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588
Interoperability endpoints
- lisa.brock@237407481626628.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 10037575 | OR | Yes |
| Adult Health Nurse Practitioner | 363LA2200X | 100375775 | OR |
Addresses
Primary practice location
6800 SW 105TH Ave
Beaverton, OR 97008-5468
Mailing address
6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone (503) 430-1777
Other names
- Lisa Anne Harber
Other providers in Beaverton, OR
- Alika Patrick Bright
- Kayla Bright
- Linda Bernadette Bright
- Brightpath Mind & Wellness LLC
- Brightspire Health, LLC
- Avery Aaron Brockberg
- Brookdale Senior Living Communities, Inc.
- Mary Elizabeth Brooks-Verschingel
- Anita Gail Brooks
- Karen Renee Brooks
All providers in Beaverton, OR · Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.