Individual provider Active NPI

Lisa Stiltner, FNP-C

  • Family Nurse Practitioner
  • Richlands, VA
National Provider Identifier
1548628548
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172946 Issued in VA
Practice address
1 Clinic Dr
Richlands, VA 24641-1102
Phone
(276) 964-1217
NPI assigned
Feb 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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 0024172946 VA Primary

Addresses

Primary practice location

1 Clinic Dr
Richlands, VA 24641-1102

Mailing address

1 Clinic Dr
Richlands, VA 24641-1102

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412001273 VA Practitioner - Nurse Practitioner 4486952207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinch Valley Physicians Associates LLCGroup PAC ID 9133146111, 24 clinicians

Practice addresses (Care Compare)

398 Clinic Rd
Cedar Bluff, VA 24609-9413
Phone (276) 964-6771

Hospital & facility affiliations

  • Ultra Health Home Care Home health agency, Cedar Bluff, VA, CCN 497611
  • Medical Services of America Home Health and Hospice Home health agency, Richlands, VA, CCN 497027
  • Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Valley Physicians Associates LLC CurrentSince Feb 15, 2016 Accepting new patients
Clinch Valley Physicians Associates LLC CurrentSince Feb 15, 2016 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Mar 1, 2016 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Mar 1, 2016 Accepting new patients
Clinch Valley Physicians Inc Past Accepting new patients

Locations

398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: lisa.stiltner@vab.hcadirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1548628548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLINIC DR",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246411102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLINIC DR",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246411102",
            "telephone_number": "276-964-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILTNER",
        "first_name": "LISA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

Verify at the official NPI Registry.