Individual provider Active NPI

Lisa C Brenize, PA-C

  • Physician Assistant
  • Harrisburg, PA
National Provider Identifier
1447218789
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61614209 Issued in WA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050203000538 PA Practitioner - Physician Assistant 7911958202 Reassigns benefits to 2 organizations
I20240417000910 DE Practitioner - Physician Assistant 7911958202 Reassigns benefits to 1 organization
I20250919001645 WA Practitioner - Physician Assistant 7911958202 Reassigns benefits to 1 organization

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
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians
Delaware Center for Digestive Care LLCGroup PAC ID 5890089353, 68 clinicians

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

LicenseStateTypeSpecialty
MA051112PAMDPhysician Assistant
PA61614209WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midatlantic Endoscopy LLC Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince May 1, 2023 Accepting new patients
Washington Gastroenterology PLLC Physician Assistant CurrentSince Sep 1, 2025 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Sep 1, 2025 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.

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": "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

Verify at the official NPI Registry.