Individual provider Active NPI

Lisa A Lugent, PA

  • Physician Assistant
  • Manassas, VA
National Provider Identifier
1336185735
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001986 Issued in VA
Practice address
8700 Sudley Road
Prince William Hospital
Manassas, VA 20110
Phone
(703) 369-8337
Fax
(703) 369-8868
NPI assigned
Jun 22, 2006
Last updated
Jan 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001986 VA Primary

Addresses

Primary practice location

8700 Sudley Road
Prince William Hospital
Manassas, VA 20110

Mailing address

12917 Aspire CT
Bristow, VA 20136-3123
Phone (571) 261-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051005000897 VA Practitioner - Physician Assistant 7315972692 Reassigns benefits to 4 organizations
I20130520000212 DC Practitioner - Physician Assistant 7315972692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.77 of 100Reported as group
Quality
93.85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110001986VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Williamsburg Emergency Physicians CurrentSince Nov 1, 2020 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jan 21, 2010 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 21, 2010 Accepting new patients
Arnot Medical Services PLLC Past Accepting new patients

Locations

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

Interoperability endpoints

  • Direct secure messaging: lisa.lugent.1@17026.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1336185735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12917 ASPIRE CT",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201363123",
            "telephone_number": "571-261-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SUDLEY ROAD",
            "address_2": "PRINCE WILLIAM HOSPITAL",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-369-8337",
            "fax_number": "703-369-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGENT",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.