NPIMap

Individual provider Active NPI

Lisa A Coleman, CNP

  • Family Nurse Practitioner
  • Summersville, WV
National Provider Identifier
1619037710
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN42545-FNP-BC Issued in WV
Practice address
400 Fairview Heights Rd Ste 102
Summersville, WV 26651-9308
Phone
(304) 872-0035
Fax
(304) 872-0102
NPI assigned
Dec 11, 2006
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 APRN42545-FNP-BC WV Primary

Addresses

Primary practice location

400 Fairview Heights Rd Ste 102
Summersville, WV 26651-9308

Mailing address

400 Fairview Heights Rd Ste 102
Summersville, WV 26651-9308
Phone (304) 872-0102

Other practice location 1

1709 Harper Rd
Beckley, WV 25801-3311
Phone (304) 256-3027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000459 WV Practitioner - Nurse Practitioner 0749374387 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
West Virginia University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Braxton County Memorial HospitalGroup PAC ID 5193717759, 46 clinicians
West Virginia Health Care Cooperative IncGroup PAC ID 9830431030, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

100 Hoylman Dr
Gassaway, WV 26624-9318
Phone (304) 364-5156

400 Fairview Heighs Rd
Summersville, WV 26651-9308
Phone (304) 872-8402

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN42545-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jun 5, 2018 Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 17, 2022 Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 17, 2022 Accepting new patients
Braxton County Memorial Hospital CurrentSince Dec 6, 2023 Accepting new patients
West Virginia Health Care Cooperative Inc CurrentSince Oct 1, 2024 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jun 5, 2018 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 13, 2022 Accepting new patients
Braxton County Memorial Hospital CurrentSince Dec 6, 2023 Accepting new patients
Charleston Area Medical Center, Inc. Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

3100 Maccorkle Ave SE
Ste 101
Charleston, WV 25304
Phone (304) 388-5395

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

921 Mineral Rd
Ste 101
Glenville, WV 26351
Phone (304) 462-7322

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

400 Fairview Heights Rd
Ste 102
Summersville, WV 26651
Phone (304) 872-0035

400 Fairview Heights Rd
Ste 204
Summersville, WV 26651
Phone (304) 872-8411

Interoperability endpoints

  • Direct secure messaging: lcoleman133857@direct.wvuhsdirect.com

Organizations & group practices 10

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 5

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1619037710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD STE 102",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-0102",
            "fax_number": "304-872-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD STE 102",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-0035",
            "fax_number": "304-872-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Harper Rd",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258013311",
            "country_code": "US",
            "telephone_number": "304-256-3027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN42545-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.