Lidia Wiersum
NPI 1558605071ActiveIndividual· Nurse Practitioner, Gerontology· Issaquah, WA
Nurse Practitioner, Gerontology with Select Rehabilitation, LLC and 2 other groups, practicing in Issaquah, Washington. 180 Medicare patients in 2024, $33,399 paid; nearly all of their 828 Part D prescriptions were generic (95%). Lists Swedish Edmonds Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1558605071 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 21, 2012 |
| Last updated in NPPES | Oct 9, 2020 |
| Certified by provider | Oct 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | AP60321256 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 180 |
|---|---|
| Services billed | 252 across 11 procedure codes |
| Paid by Medicare | $33,399 |
Part D prescriptions in 2024
| Prescriptions (claims) | 828 · 2,171 30-day fills |
|---|---|
| Patients | 328 |
| Total drug cost | $47,858 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Select Rehabilitation, LLCGlenview, IL · 2,046 clinicians
- Select Outpatient Services IncGlenview, IL · 805 clinicians
- Swedish Health ServicesSeattle, WA · 385 clinicians
Hospital affiliations
- Swedish Edmonds HospitalEdmonds, WA
- Swedish Medical CenterSeattle, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Gerontology providers in Issaquah
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- 1336861541
- 1811472640
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