Individual provider Active NPI

Lisa Carol Collins, FNP-BC

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1437382595
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
58606 Issued in WV
Practice address
2801 S Staunton Rd
Huntington, WV 25702-1222
Phone
(304) 526-1880
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 58606 WV Primary

Addresses

Primary practice location

2801 S Staunton Rd
Huntington, WV 25702-1222

Mailing address

244 Township Road 1287
Chesapeake, OH 45619-8128
Phone (304) 528-4600

Other practice location 1

5170 U. S. Route 60 East
Huntington, WV 25705
Phone (304) 654-3631

Other practice location 2

5170 U. S. Route 60 East
Huntington, WV 25705
Phone (304) 654-3631

Other practice location 3

5170 U. S. Route 60 East
Huntington, WV 25705
Phone (304) 654-3631

Other practice location 4

2900 1st Ave
6th Floor East Wing
Huntington, WV 25702-1241
Phone (304) 526-1880

Other practice location 5

2801 S Staunton Rd
Huntington, WV 25702-1222
Phone (304) 526-1880

Other identifiers 1

IdentifierTypeStateIssuer
3810016543MedicaidWV

Other names 1

  • Lisa Carol Chapman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091203000021 WV Practitioner - Nurse Practitioner 8426197518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 526-1234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Medical Management, LLC Family CurrentSince Jul 23, 2018 Accepting new patients
St. Mary's Medical Management, LLC CurrentSince Jul 23, 2018 Accepting new patients
St. Mary's Himg, LLC Past Accepting new patients

Locations

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2900 1st Ave
Fl 6
Huntington, WV 25702
Phone (304) 345-6824

2860 3rd Ave
Ste 210
Huntington, WV 25702
Phone (304) 526-7246

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

2801 S Staunton Rd
Huntington, WV 25702
Phone (304) 526-1880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1437382595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 TOWNSHIP ROAD 1287",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456198128",
            "telephone_number": "304-528-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S STAUNTON RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021222",
            "telephone_number": "304-526-1880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5170 U. S. Route 60 East",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "25705",
            "country_code": "US",
            "telephone_number": "304-654-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5170 U. S. Route 60 East",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "25705",
            "country_code": "US",
            "telephone_number": "304-654-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5170 U. S. Route 60 East",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "25705",
            "country_code": "US",
            "telephone_number": "304-654-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 1st Ave",
            "address_2": "6th Floor East Wing",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021241",
            "country_code": "US",
            "telephone_number": "304-526-1880",
            "fax_number": "304-526-1886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 S Staunton Rd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021222",
            "country_code": "US",
            "telephone_number": "304-526-1880",
            "fax_number": "304-529-4206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LISA",
        "middle_name": "CAROL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "58606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810016543",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CHAPMAN",
            "middle_name": "CAROL",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.