Active NPI
Lisa M Wywrot, APRN
- Acute Care Nurse Practitioner
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024186633
- Practice address
- 4320 Seminary Rd
Alexandria, VA 22304-1535 - Phone
- (703) 504-3000
- Fax
- (703) 504-3388
- NPI assigned
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024186633 | VA | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 209022635 | IL |
Addresses
Primary practice location
4320 Seminary Rd
Alexandria, VA 22304-1535
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
17800 Kedzie Ave Ste Aip
Hazel Crest, IL 60429-2029
Phone (708) 213-3230
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lwywrot269303@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960
8503 Arlington Blvd
Fairfax, VA 22031-4628
Phone (703) 970-2670
Hospital & facility affiliations
- Inova Alexandria Hospital
- Inova Mount Vernon Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Past | Accepting new patients |
Locations
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
8503 Arlington Blvd
Fairfax, VA 22031
Phone (703) 970-2670
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
Interoperability endpoints
- lwywrot269303@direct.myadvocateaurora.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1093488041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 SEMINARY RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041535",
"telephone_number": "703-504-3000",
"fax_number": "703-504-3388"
}
],
"practiceLocations": [
{
"address_1": "17800 Kedzie Ave Ste Aip",
"address_purpose": "LOCATION",
"city": "Hazel Crest",
"state": "IL",
"postal_code": "604292029",
"country_code": "US",
"telephone_number": "708-213-3230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYWROT",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024186633",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209022635",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lwywrot269303@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "17800 Kedzie Ave Ste Aip",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292029",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "17800 Kedzie Ave Ste Aip",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.