Individual provider Active NPI

Lisa Marie Johnson, NP

  • Family Nurse Practitioner
  • Astoria, OR
National Provider Identifier
1922513563
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10031852 Issued in OR
Practice address
2275 Commercial St
Astoria, OR 97103-3327
Phone
(503) 325-8315
Fax
(503) 338-4198
NPI assigned
Dec 5, 2017
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10031852 OR Primary

Addresses

Primary practice location

2275 Commercial St
Astoria, OR 97103-3327

Mailing address

PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-2395

Other identifiers 2

IdentifierTypeStateIssuer
APN.0993584-NPOtherCOAPRN STATE LICENSE
9000155505MedicaidCO

Other names 1

  • Lisa Marie Rogers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, VT, MN, TX, VA, OR, OH, GA8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20171219000649 CO Practitioner - Nurse Practitioner 0244598324 Reassigns benefits to 3 organizations
I20250902001540 VT Practitioner - Nurse Practitioner 0244598324 Reassigns benefits to 1 organization
I20250905001273 MN Practitioner - Nurse Practitioner 0244598324 Reassigns benefits to 1 organization
I20250908002149 TX Practitioner - Nurse Practitioner 0244598324 Reassigns benefits to 1 organization
I20250916000751 VA Practitioner - Nurse Practitioner 0244598324 Reassigns benefits to 1 organization
I20250924003881 OR Practitioner - Nurse Practitioner 0244598324 Reassigns benefits to 2 organizations
I20251001003528 OH Practitioner - Nurse Practitioner 0244598324 Reassigns benefits to 1 organization
I20251114003775 GA Practitioner - Nurse Practitioner 0244598324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitalcare Health Services PCGroup PAC ID 2264961861, 46 clinicians
Yakima Valley Farm Workers ClinicGroup PAC ID 4385541986, 274 clinicians

Practice addresses (Care Compare)

115 N Portland St
Chesterville, OH 43317-5006
Phone (844) 210-6186

1801 Camelot Dr
Virginia Beach, VA 23454-2401
Phone (844) 210-6186

207 E Parkerville Rd
Park Village Healthcare and Rehabilitation
Desoto, TX 75115-6251
Phone (972) 230-1000

215 Tom Wicker LN
Randolph Center, VT 05061-6701
Phone (844) 210-6186

3051 Whiteside Rd
Macon, GA 31216-6209
Phone (844) 210-6186

4685 Baseline Rd
Boulder, CO 80303-2601
Phone (303) 494-0535

589 NW 11TH St
Hermiston, OR 97838-6600
Phone (503) 567-1717

6800 SW 105TH Ave
Suite 206
Beaverton, OR 97008-5487
Phone (503) 430-1777

9200 Nicollet Ave S
Minneapolis, MN 55420-3714
Phone (952) 881-8676

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalcare Health Services PC CurrentSince Jul 19, 2025 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Feb 25, 2026 Accepting new patients
Keefe Memorial Health Service District CurrentSince May 18, 2023 Accepting new patients
Goodness Health, LLC CurrentSince Aug 10, 2025 Accepting new patients
Keefe Memorial Health Service District CurrentSince May 18, 2023 Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Jul 5, 2023 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Feb 25, 2026 Accepting new patients
Goodness Health, LLC CurrentSince Aug 10, 2025 Accepting new patients
Vitalcare Medical Services PA PastSince Aug 25, 2025 Accepting new patients

Locations

4685 Baseline Rd
Boulder, CO 80303
Phone (303) 439-2259

602 N 6th St W
Cheyenne Wls, CO 80810
Phone (719) 767-5661

12105 Ambassador Dr
Colorado Springs, CO 80921
Phone (719) 481-5161

1891 State Highway 7
Erie, CO 80516
Phone (303) 729-4170

1842 N College Ave
Ste 3
Fort Collins, CO 80524
Phone (970) 494-6975

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

3051 Whiteside Rd
Macon, GA 31216
Phone (478) 347-2400

9200 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 881-8676

2275 Commercial St
Astoria, OR 97103
Phone (503) 325-8315

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008

207 E Parkerville Rd
Desoto, TX 75115
Phone (385) 454-5027

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

1801 Camelot Dr
Virginia Beach, VA 23454
Phone (757) 481-3500

215 Tom Wicker Ln
Randolph Ctr, VT 05061
Phone (802) 728-7800

Interoperability endpoints

  • Direct secure messaging: lisa.johnson@krogerhealth.eclinicaldirectplus.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 5

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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1922513563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190",
            "telephone_number": "509-865-2395",
            "fax_number": "509-865-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 COMMERCIAL ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033327",
            "telephone_number": "503-325-8315",
            "fax_number": "503-338-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10031852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN STATE LICENSE",
            "identifier": "APN.0993584-NP",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000155505",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ROGERS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.