Active NPI
Lisa Christine Merrill, M.D.
- Internal Medicine Physician
- Williamsburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101248071
- Practice address
- 100 Sentara Cir
Room 2C
Williamsburg, VA 23188-5713 - Phone
- (757) 984-7218
- Fax
- (757) 984-7210
- NPI assigned
- Jan 26, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-084589 | OH | |
| Hospitalist Physician | 208M00000X | 0101248071 | VA | |
| Internal Medicine Physician | 207R00000X | 0101248071 | VA | Primary |
Addresses
Primary practice location
100 Sentara Cir
Room 2C
Williamsburg, VA 23188-5713
Mailing address
100 Sentara Cir
Room 2C
Williamsburg, VA 23188-5713
Phone (757) 984-7218
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04782 | Other | OH | PARAMOUNT INSURANCE |
| 5191153 | Other | OH | CIGNA INSURANCE |
| 2574174 | Medicaid | OH | |
| 000000367441 | Other | OH | ANTHEM INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Medical College of Ohio, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Sentara Cir
Suite 2C
Williamsburg, VA 23188-5713
Phone (757) 984-7217
Hospital & facility affiliations
- Sentara Williamsburg Regional Medical Center
- Riverside Regional Medical Center
- Sentara Careplex Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-084589 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Family Medicine | Current | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
100 Sentara Cir
Rm 2C
Williamsburg, VA 23188
Phone (757) 984-7217
100 Sentara Cir
Ste 2C
Williamsburg, VA 23188
Phone (757) 984-7217
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1235109653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SENTARA CIR",
"address_2": "ROOM 2C",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885713",
"telephone_number": "757-984-7218",
"fax_number": "757-984-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SENTARA CIR",
"address_2": "ROOM 2C",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885713",
"telephone_number": "757-984-7218",
"fax_number": "757-984-7210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "LISA",
"middle_name": "CHRISTINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-084589",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101248071",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101248071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT INSURANCE",
"identifier": "04782",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INSURANCE",
"identifier": "5191153",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2574174",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INSURANCE",
"identifier": "000000367441",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.