Lissette Kinsella, FNP
Individual provider Active NPI Family Nurse Practitioner · Palmyra, VA
NPI 1609204569 · NPPES record last updated Jul 29, 2021
Key facts
- NPI
- 1609204569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024171375 (VA)
- Practice address
- 77 Market St Ste E
Palmyra, VA 22963-4687 - Phone
- (434) 589-9030
- Fax
- (434) 589-9040
- NPI assigned
- Oct 30, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Virginia Physicians Group
Practice addresses (Care Compare)
77 Market St
Suite E
Palmyra, VA 22963-4687
Phone (434) 589-9030
Hospital & facility affiliations
- Continuum Home Health Care
- At Home Care
- Sentara Home Care Services
- University of Virginia Medical Center
- Sentara Martha Jefferson Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140618001218 | VA | Practitioner - Nurse Practitioner | 5496979205 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024171375 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| University of Virginia Physicians Group | Current |
Accepting new patients | |
| Martha Jefferson Hospital | Past |
Accepting new patients |
Locations
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
3025 Berkmar Dr
Ste 1
Charlottesvle, VA 22901
Phone (434) 973-1831
3025 Berkmar Dr
Charlottesvle, VA 22901
Phone (434) 973-1831
8644 Sudley Rd
#220
Manassas, VA 20110
77 Market St
Ste E
Palmyra, VA 22963
Phone (434) 589-9030
7605 Forest Ave
Ste 316
Richmond, VA 23229
Phone (804) 282-0044
Interoperability endpoints
- lkinsella8816@direct.healthsystem.virginia.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024171375 | VA | Yes |
Addresses
Primary practice location
77 Market St Ste E
Palmyra, VA 22963-4687
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
33 Rebecca Dr
Palmyra, VA 22963-6242
Phone (434) 654-4680
Other names
- Lissette Estella
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lkinsella8816@direct.healthsystem.virginia.edu | Direct |
Other providers in Palmyra, VA
- Jefferson Pharmacy
- Susan Joseph
- Hannah Jane Kedzierski
- Selina Y Kelete
- Kerri Rachelle, LLC
- Anna Kryachkova
- Lake Centre Pharmacy
- Lake Chiropractic, PC
- Marion Henson Lamb
- Lucy Ricardo Larsen
All providers in Palmyra, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.