Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265447775 Individual Practitioner Female Practitioner

Lisa Anne Crupi , PNP

Nurse Practitioner - Pediatrics • Portland, OR

Professional Overview & Biography Verified Profile Summary

Lisa Crupi, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Portland, OR. Practice services are available at 707 SW GAINES ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

707 Sw Gaines St

Portland, OR 972392901

Telephone 5034942062
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
119 Specialists

Practicing in Portland, OR (225 Statewide)

Telehealth Adoption Rate
0.8% 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

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OR 097007252N2

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License OR 097007252RN

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
227920 (OR)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Margaret Wolf

Occupational Therapist

NPI 1003011271
William Foran , PT

Physical Therapist

NPI 1003913872

Physical Therapist

Dr. John Liedel , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1023024627

Doctor of Medicine (M.D.)

Leah Wessenberg , FNP

Nurse Practitioner - Family

NPI 1023200821

Family Nurse Practitioner

Dr. Michael Harris , PhD

Psychologist - Clinical Child & Adolescent

NPI 1033243134

Doctor of Philosophy (Ph.D.)

Dr. Danielle Moyer , PhD

Psychologist - Clinical

NPI 1033761119

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 10, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2007

Registered at 707 SW GAINES ST, PORTLAND, OR 972392901 (Tel: 5034942062)

📍
Updated Business Mailing Address July 10, 2007

Registered at 707 SW GAINES ST, PORTLAND, OR 972392901

👤
Provider Name / Credentials Updated July 10, 2007

Recorded as LISA CRUPI, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2007

Nurse Practitioner (License #097007252N2 in OR)

🟢
Initial NPI Registration & Enumeration July 31, 2006

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: 1265447775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 10, 2007
Sole Proprietor: No

Mailing Address

707 Sw Gaines St

Portland, OR 972392901

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.