Individual provider Active NPI

Lisa Rehberger, MSN, ARNP

  • Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1255674917
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30006555 Issued in WA
Practice address
4707 S 19TH St Ste 130
Tacoma, WA 98405-1151
Phone
(253) 522-2737
Fax
(253) 759-0914
NPI assigned
Apr 1, 2013
Last updated
Apr 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30006555 WA Primary

Addresses

Primary practice location

4707 S 19TH St Ste 130
Tacoma, WA 98405-1151

Mailing address

4700 Point Fosdick Dr NW Ste 219
Gig Harbor, WA 98335-1706
Phone (253) 851-7733

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lrehberger@directaddress.net Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151230001639 WA Practitioner - Nurse Practitioner 4688976145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4700 Point Fosdick Dr NW
Suite 219
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
79.58
Improvement activities
40
Cost
76.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30006555WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Dermatology & Laser Clinic PLLC Past Accepting new patients
Eric O Rasmussen Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lrehberger@directaddress.net

Organizations & group practices 3

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1255674917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR NW STE 219",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-7733",
            "fax_number": "253-851-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 S 19TH ST STE 130",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051151",
            "telephone_number": "253-522-2737",
            "fax_number": "253-759-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHBERGER",
        "first_name": "LISA",
        "credential": "MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrehberger@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lrehberger@directaddress.net",
            "address_1": "4707 S 19th St Ste 130",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984051151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.