NPIMap

Individual provider Active NPI

Lisa Claire Matelich, M.D.

  • Family Medicine Physician
  • Newport, WA
National Provider Identifier
1366837510
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60890428 Issued in WA
Practice address
714 W Pine St
Newport, WA 99156-9046
Phone
(509) 474-3139
NPI assigned
Apr 4, 2015
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60890428 WA Primary

Addresses

Primary practice location

714 W Pine St
Newport, WA 99156-9046

Mailing address

714 W Pine St
Newport, WA 99156-9046
Phone (509) 447-3139

Other names 1

  • Dr. Lisa Claire Grove Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgrove529022@wm.providencedirect.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190902000003 WA Practitioner - Family Practice 1759673965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pend Oreille County Public Hospital District No 1Group PAC ID 3274431184, shared by 5 NPIs, 31 clinicians

Practice addresses (Care Compare)

714 W Pine St
Newport, WA 99156-9046
Phone (509) 447-2441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60890428WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington Family Medicine CurrentSince Jan 29, 2023 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Sep 1, 2020 Accepting new patients
Pend Oreille County Public Hospital District No 1 Current Accepting new patients
Pend Oreille County Public Hospital District No 1 Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Dec 23, 2025 Accepting new patients
Pend Oreille County Public Hospital District No. 1 Past Accepting new patients
Pend Oreille County Public Hospital District No 1 Family Medicine Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

714 W Pine St
Newport, WA 99156
Phone (509) 447-2441

714 W Pine St
Bldg C
Newport, WA 99156
Phone (509) 447-3139

624 E Front Ave
Spokane, WA 99202
Phone (509) 626-9900

Interoperability endpoints

  • Direct secure messaging: lgrove529022@wm.providencedirect.org

Organizations & group practices 8

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 3

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": "1428105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1366837510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W PINE ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569046",
            "telephone_number": "509-447-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W PINE ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569046",
            "telephone_number": "509-474-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATELICH",
        "first_name": "LISA",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-04",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60890428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgrove529022@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "714 W Pine St",
            "city": "Newport",
            "state": "WA",
            "country_code": "US",
            "postal_code": "991569046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GROVE",
            "middle_name": "CLAIRE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport, WA

Sources for this page

Verify at the official NPI Registry.