NPIMap

Individual provider Active NPI

Lisa Marie Skarling, MD

  • Family Medicine Physician
  • Champlain, NY
National Provider Identifier
1629655709
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
329070 Issued in NY
Practice address
828 State Route 11
Champlain, NY 12919-4966
Phone
(518) 298-2691
Fax
(518) 298-8241
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 329070 NY Primary

Addresses

Primary practice location

828 State Route 11
Champlain, NY 12919-4966

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other identifiers 1

IdentifierTypeStateIssuer
08054226MedicaidNY

Other names 1

  • Lisa Marie Skarbakka Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.skarling.1@1823.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20241009002170 NY Practitioner - Family Practice 6204237936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

828 State Route 11
Champlain, NY 12919-4966
Phone (518) 298-2691

Hospital & facility affiliations

  • HCR / HCR Home Care Chha (Plattsburgh) Home health agency, Plattsburgh, NY, CCN 337024
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
329070NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network Family Medicine CurrentSince Sep 30, 2024 Accepting new patients
Hudson Headwaters Health Network Family Medicine CurrentSince Sep 30, 2024 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients

Locations

828 State Route 11
Champlain, NY 12919
Phone (518) 298-2691

9 Carey Rd
Queensbury, NY 12804

Interoperability endpoints

  • Direct secure messaging: lisa.skarling.1@1823.direct.athenahealth.com
  • Direct secure messaging: lskarling1720950@wm.providencedirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1629655709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 STATE ROUTE 11",
            "city": "CHAMPLAIN",
            "state": "NY",
            "postal_code": "129194966",
            "telephone_number": "518-298-2691",
            "fax_number": "518-298-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARLING",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "329070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08054226",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.skarling.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "828 State Route 11",
            "city": "Champlain",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129194966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SKARBAKKA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Champlain, NY

Sources for this page

Verify at the official NPI Registry.