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Lisa L Illich , MS

Audiologist β€’ Seattle, WA

Active NPI 1861467839 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1959 Ne Pacific St.
Seattle, WA 981950001

Call 2065205000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1959 Ne Pacific St.

Seattle, WA 981950001

Telephone 2065205000
Organization at the Same NPPES Address or Phone
Harborview Medical Center Facility NPI 1003928904

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: The Association Of University Physicians. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1992

Years since graduation

34 years (graduated 1992)

CMS Doctors and Clinicians data list 1992 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Lisa Illich has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Seattle and Washington

148 active clinicians are listed under Audiologist with a practice address in Seattle, WA (585 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Seattle

0% of these 148 clinicians have the CMS telehealth indicator.

27% of these 148 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-19
Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

License # reported to NPPES WA LD00001205

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED AUDIOLOGIST

Medicare Enrollment ID

I20240930003727

Enrollment State Jurisdiction

WA

PECOS Control ID

7012448103

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

The Association Of University Physicians

728 Edmonds Way, Edmonds, WA 980205126

Phone: 4256732875

The Association Of University Physicians

10330 Meridian Ave N, Seattle, WA 981339484

Phone: 2063686360

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

39 listed
Dr. Meagan Alvarado , MD

Internal Medicine - Transplant Hepatology

NPI 1003303363

Doctor of Medicine (M.D.)

Kathryn Anderson , ARNP

Nurse Practitioner

NPI 1003331414

Advanced Registered Nurse Practitioner

Mir Mohammad Ali Ansary

Internal Medicine

NPI 1003235698
Jennifer Branham , ARNP

Nurse Practitioner

NPI 1003251273

Advanced Registered Nurse Practitioner

Timothy Butterworth , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003325333

Certified Registered Nurse Anesthetist

Dr. Maria Corcorran , MD

Internal Medicine

NPI 1003159013

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 19, 2024

Registered at 1959 NE PACIFIC ST., SEATTLE, WA 981950001 (Tel: 2065205000)

πŸ“
Updated Business Mailing Address September 19, 2024

Registered at PO BOX 50095, SEATTLE, WA 981455095

βœ…
NPI Profile Active April 10, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 10, 2008

Registered at 1100 9TH AVE, SEATTLE, WA 981012756 (Tel: 2062236600)

πŸ“
Business Mailing Address (Initial Record) April 10, 2008

Registered at 1100 OLIVE WAY, MS:M4-PA, SEATTLE, WA 981011873 (Tel: 2065155811)

πŸ‘€
Provider Name / Credentials (Initial Record) April 10, 2008

Recorded as LISA ILLICH, MS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2008

Audiologist (license number reported to NPPES: WA LD00001205)

🟒
Initial NPI Registration & Enumeration February 22, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861467839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2006
Last Update: September 19, 2024
Sole Proprietor: No

Other Audiologists in Seattle

All Audiologists in Seattle

Mailing Address

Po Box 50095

Seattle, WA 981455095

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.