Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588151567 Individual Practitioner Female Practitioner

Lisa Ann Edwards , PPCNP-BC

Nurse Practitioner - Pediatrics • Cave Junction, OR

Professional Overview & Biography Verified Profile Summary

Lisa Edwards, PPCNP-BC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Cave Junction, OR. Practice services are available at 25647 REDWOOD HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25647 Redwood Hwy

Cave Junction, OR 975239332

Telephone 5415008407
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Cave Junction, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Cave Junction, OR (225 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-07
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OR 201801351NP-PP

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500743373 (OR)

Secondary Practice Locations

668 Espey Rd

Grants Pass, OR 975277728

Phone: 5419100972

668 Espey Rd

Grants Pass, OR 975277728

Phone: 5419100972

10830 Highway 62

Eagle Point, OR 97524

Phone: 5418304060

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Brenda Valdovinos

Community Health Worker

NPI 1881548741
Vanessa Waterbury

Community Health Worker

NPI 1992655773

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 05, 2021

Registered at 25647 REDWOOD HWY, CAVE JUNCTION, OR 975239332 (Tel: 5415008407)

📍
Updated Business Mailing Address April 05, 2021

Registered at 25647 REDWOOD HWY, CAVE JUNCTION, OR 975239332 (Tel: 5415924111)

📍
Updated Practice Location June 06, 2018

Registered at 10830 HIGHWAY 62, EAGLE POINT, OR 97524 (Tel: 5418304060)

📍
Updated Business Mailing Address June 06, 2018

Registered at PO BOX 3158, PORTLAND, OR 972083158 (Tel: 5418304060)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2018

Nurse Practitioner (License #201801351NP-PP in OR)

NPI Profile Active April 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2018

Registered at 668 ESPEY RD, GRANTS PASS, OR 975277728 (Tel: 5419100972)

📍
Updated Business Mailing Address April 16, 2018

Registered at 668 ESPEY RD, GRANTS PASS, OR 975277728 (Tel: 5419100972)

👤
Provider Name / Credentials Updated April 16, 2018

Recorded as LISA EDWARDS, PPCNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2018

Pediatrics (License #201801351NP-PP in OR)

🟢
Initial NPI Registration & Enumeration April 16, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588151567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2018
Last Update: February 07, 2023
Sole Proprietor: No

Mailing Address

25647 Redwood Hwy

Cave Junction, OR 975239332

Phone: 5415924111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.