Active NPI
Lisa C Brenize, PA-C
- Physician Assistant
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61614209
- Practice address
- 4760 Union Deposit Rd
Suite 100
Harrisburg, PA 17111-3744 - Phone
- (717) 545-9811
- Fax
- (717) 545-9979
- NPI assigned
- May 3, 2006
- Last updated
- Oct 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA051112 | PA | |
| Physician Assistant | 363A00000X | PA61614209 | WA | Primary |
Addresses
Primary practice location
4760 Union Deposit Rd
Suite 100
Harrisburg, PA 17111-3744
Mailing address
4760 Union Deposit Rd Ste 100
Harrisburg, PA 17111-3744
Phone (717) 545-9811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 4TH Ave NW
Unit 303
Issaquah, WA 98027-9371
Phone (425) 270-6363
1703 S Meridian
Puyallup, WA 98371-7590
Phone (253) 841-3933
17700 SE 272ND St
Suite 420
Kent, WA 98042-4951
Phone (253) 639-9660
1941 Limestone Rd
Suite 120
Wilmington, DE 19808-5424
Phone (302) 832-1545
3261 NW Mount Vintage Way
Suite 221
Silverdale, WA 98383-6039
Phone (360) 792-9118
4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 738-5300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA051112 | PA | MD | Physician Assistant |
| PA61614209 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midatlantic Endoscopy LLC | Current | Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Physician Assistant | Current | Accepting new patients |
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Pinnacle Health Hospitalist Services LLC | Physician Assistant | Past | Accepting new patients |
Locations
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660
1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933
1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933
3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508
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.
-
- Gastroenterology Physician
- Tacoma, WA
- NPI 1306364401
Physician Assistant
-
- Gastroenterology Physician
- Newark, DE
- NPI 1558722561
-
- Gastroenterology Physician
- Harrisburg, PA
- NPI 1639121809
-
dba Digestive Disease Associates, LTD
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
-
dba Mid-Atlantic Gastrointestinal Center
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1255872784
-
dba Mid-Atlantic Gastrointestinal Center
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1295819084
-
dba Washington Gastroenterology Lab
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1467011122
-
- Hospitalist Physician
- Harrisburg, PA
- NPI 1023458148
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1447218789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 UNION DEPOSIT RD STE 100",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171113744",
"telephone_number": "717-545-9811",
"fax_number": "717-545-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 UNION DEPOSIT RD",
"address_2": "SUITE 100",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171113744",
"telephone_number": "717-545-9811",
"fax_number": "717-545-9979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENIZE",
"first_name": "LISA",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA051112",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61614209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.