Individual provider Active NPI

Lisa Anne Brock, APRN-BC

  • Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1255422366
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10037575 Issued in OR
Practice address
6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone
(503) 430-1777
NPI assigned
Sep 27, 2006
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 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 10037575 OR Primary
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 1

  • Lisa Anne Harber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070426000475 IN Practitioner - Nurse Practitioner 4486648474 Reassigns benefits to 7 organizations
I20251114003243 OR Practitioner - Nurse Practitioner 4486648474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 3678720729, 59 clinicians

Practice addresses (Care Compare)

6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone (503) 430-1777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10037575ORMDNurse Practitioner
100375775ORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
Midwest Post Acute Care PLLC Nurse Practitioner CurrentSince May 8, 2023 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Aug 9, 2023 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Aug 9, 2023 Accepting new patients
Sound Physicians of Indiana, LLC Nurse Practitioner Current Accepting new patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Jul 1, 2021 Accepting new patients
Post Acute Medical PLLC CurrentSince Jan 2, 2025 Accepting new patients
CRM Physicians, LLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Altea Medical Indiana PC CurrentSince Dec 19, 2024 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

4100 N Morrison Rd
Muncie, IN 47304
Phone (765) 212-3162

4301 N Walnut St
Muncie, IN 47303
Phone (765) 282-0053

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
Phone (503) 351-3505

650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588

Interoperability endpoints

  • Direct secure messaging: lisa.brock@237407481626628.direct.elationemr.com

Organizations & group practices 10

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

Hospital & facility affiliations 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1255422366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 SW 105TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085468",
            "telephone_number": "503-430-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 SW 105TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085468",
            "telephone_number": "503-430-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10037575",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "100375775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HARBER",
            "middle_name": "ANNE",
            "credential": "APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.