Individual provider

Joanna Lezak, ANP

Adult Health Nurse Practitioner Medicare enrolled

Joanna Lezak, ANP is an Adult Health Nurse Practitioner in Portland, OR, registered under NPI 1366445967.

Getting there

The practice address on file is 1130 NW 22ND AVE SUITE 110, Portland, OR 97210. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1130 NW 22ND AVE SUITE 110, Portland, OR 97210 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
200450078NP OR Adult Health Nurse Practitioner primary

This provider holds licence 200450078NP issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
7719954130

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Oregon I20040915000399 Practitioner - Nurse Practitioner
Washington I20060524000137 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 2 separate enrolment records across 2 states (OR, WA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Adult Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1366445967 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 27, 2005
Last updatedJan 30, 2024
StatusActive
Sole proprietorNo
CredentialANP
Practice address 1130 NW 22ND AVE
SUITE 110
Portland, OR 97210
(503) 413-3940
Fax (503) 413-1860
Other identifiers 275455 · Medicaid (OR)
This record was updated on Jan 30, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1366445967 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 6 6 4 4 5 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 3 6 8 4 1 9 3

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1366445967?
NPI 1366445967 is the National Provider Identifier assigned to Joanna Lezak, ANP in Portland, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Health cover?
Definition to come...
How do I contact Joanna Lezak, ANP?
The phone number on file with NPPES is (503) 413-3940, last updated Jan 30, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Joanna Lezak, ANP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1366445967 a valid number?
Yes. 1366445967 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.