LIDIA WIERSUM NPI 1558605071

NPI Information

  • NPI: 1558605071
  • Provider Name: LIDIA WIERSUM
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2445 270TH AVE SE
    ISSAQUAH, WA
    ZIP 98029
  • Phone: (262) 748-5588

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NPI Details

Lidia Wiersum is a gerontology nurse practitioner in Issaquah, WA with 13 years of experience. Lidia Wiersum NPI is 1558605071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2445 270TH AVE SE
ISSAQUAH, WA
ZIP 98029-901
Phone: (262) 748-5588

The NPI 1558605071 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)

The enumeration date for this NPI number is 11/21/2012 and was last updated on 10/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyAP60321256WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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