Active NPI
Lissette Kinsella, FNP
- Family Nurse Practitioner
- Palmyra, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024171375
- Practice address
- 77 Market St Ste E
Palmyra, VA 22963-4687 - Phone
- (434) 589-9030
- Fax
- (434) 589-9040
- NPI assigned
- Oct 30, 2013
- Last updated
- Jul 29, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024171375 | VA | Primary |
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 1
- Lissette Estella
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lkinsella8816@direct.healthsystem.virginia.edu | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
77 Market St
Suite E
Palmyra, VA 22963-4687
Phone (434) 589-9030
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Privia Medical Group, LLC | 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
Charlottesvle, VA 22901
Phone (434) 973-1831
3025 Berkmar Dr
Ste 1
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
Organizations & group practices 4
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
dba Sentara Endoscopy Center
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Charlottesville, VA
- NPI 1255315503
-
dba AT Home Care, Inc.
- Home Health Agency
- Richmond, VA
- NPI 1376509430
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1346248663
-
dba Continuum Home Health Care
- Home Health Agency
- Charlottesville, VA
- NPI 1265472286
-
dba UVA Health Sciences Center
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1609204569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MARKET ST STE E",
"city": "PALMYRA",
"state": "VA",
"postal_code": "229634687",
"telephone_number": "434-589-9030",
"fax_number": "434-589-9040"
}
],
"practiceLocations": [
{
"address_1": "33 Rebecca Dr",
"address_purpose": "LOCATION",
"city": "Palmyra",
"state": "VA",
"postal_code": "229636242",
"country_code": "US",
"telephone_number": "434-654-4680",
"fax_number": "434-589-6688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINSELLA",
"first_name": "LISSETTE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-30",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024171375",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lkinsella8816@direct.healthsystem.virginia.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "77 Market St Ste E",
"city": "Palmyra",
"state": "VA",
"country_code": "US",
"postal_code": "229634687",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LISSETTE",
"last_name": "ESTELLA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palmyra, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.