Lori L Ball, PMHCNS/FNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Fishersville, VA
NPI 1063735397 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1063735397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 0024178103 (VA)
- Practice address
- 79 N Medical Park Dr
Fishersville, VA 22939-2344 - Phone
- (540) 213-2525
- Fax
- (540) 213-2555
- NPI assigned
- Mar 1, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Light Counseling, Inc.
Practice addresses (Care Compare)
129 Vista Centre Dr
Suite B
Forest, VA 24551-2780
Phone (434) 384-1594
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100414000426 | TN | Practitioner - Nurse Practitioner | 0244367738 | Practice locations: Lebanon, TN |
| I20191126000180 | VA | Practitioner - Nurse Practitioner | 0244367738 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12314 | TN | MD | General Practice Dentistry |
| 0024178103 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current |
Accepting new patients | |
| Light Counseling, Inc. | Current |
Accepting new patients | |
| In Harmony Wellness Ihw LLC | Family | Current |
Accepting new patients |
| Tennessee TMS Center, PLLC | Current |
Accepting new patients | |
| Hendrick Counseling Services, Inc | Past | Accepting new patients |
Locations
1720 West End Ave
Ste 240
Nashville, TN 37203
Phone (615) 861-1000
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
16240 Bennett Rd
Culpeper, VA 22701
Phone (540) 825-5656
16268 Bennett Rd
Culpeper, VA 22701
Phone (540) 825-6263
129 Vista Centre Dr
Ste B
Forest, VA 24551
1075 Light Blvd
Forest, VA 24551
Phone (832) 794-0515
12000 Wyndham Lake Dr
Ste B
Glen Allen, VA 23059
Phone (804) 378-3364
4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377
20564 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 473-7723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024178103 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024178103 | VA | Yes |
Addresses
Primary practice location
79 N Medical Park Dr
Fishersville, VA 22939-2344
Mailing address
PO Box 388
Fishersville, VA 22939-0388
Phone (540) 213-2525
Other providers in Fishersville, VA
- Autumn Corporation
- Nabeel I. Babar
- Michael Backovski
- Renae Huntley Bailey
- Ramez Saleem Bakhtari
- David Milton Barnes
- Allison L Baroco
- Patrick E Baroco Jr.
- Barren Ridge Physical Therapy Limited Partnership
- Barren Ridge Physical Therapy Limited Partnership
All providers in Fishersville, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.