Lisa Ivanjack, MD
NPI 1972541878 · Internal Medicine Physician · Bothell, WA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Ivanjack, MD is a Internal Medicine Physician provider in Bothell, WA (NPI 1972541878).
Provider details
- NPI number
- 1972541878
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD00038351 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4410 106th St SwMukilteo, WA 98275Phone: (425) 493-6001Fax: (425) 493-6030
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2019-09-24
Frequently asked questions
- What is Lisa Ivanjack's NPI number?
- Lisa Ivanjack's National Provider Identifier (NPI) is 1972541878, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Ivanjack's specialty?
- Lisa Ivanjack is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lisa Ivanjack located?
- Lisa Ivanjack's practice location on file with NPPES is 1909 214th St Se Ste 300, Bothell, WA 98021.
- What is Lisa Ivanjack's phone number?
- The practice phone number listed in the NPPES registry for Lisa Ivanjack is (425) 412-7200.
- Does Lisa Ivanjack accept Medicare?
- Lisa Ivanjack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Ivanjack's NPI active?
- Yes — Lisa Ivanjack's NPI (1972541878) is active in the NPPES registry as of the last update on 2019-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.