Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Rene Peters, NP-C

Individual provider Family Nurse Practitioner · NPI 1366876724

Lisa Rene Peters, NP-C is a Nurse Practitioner in Salem, Oregon. Qualified in 2013, 13 years ago. Practices with Jamestown S'Klallam Tribe, a 38-clinician group and accepts Medicare assignment. Licensed in Idaho, Oregon and Washington.

Years since qualifying
13
Licensed in
ID, OR, WA
In the registry since
2013
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1793 13th St SE
Salem, OR 97302-2541
Phone: (503) 362-8385
Fax: (503) 362-8435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP60452758 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP-1312A (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 201401222NP-PP (OR)

Record details

NPI number1366876724
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 21, 2013
Last updated in NPPESJuly 17, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Jamestown S'Klallam Tribe — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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