Individual provider Active NPI

Lisa Ann Miller, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1649029711
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024190129 Issued in VA
Practice address
301 N Cameron St Ste 201
Winchester, VA 22601-6018
Phone
(540) 536-1680
NPI assigned
May 13, 2024
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190129 VA Primary

Addresses

Primary practice location

301 N Cameron St Ste 201
Winchester, VA 22601-6018

Mailing address

301 N Cameron St Ste 201
Winchester, VA 22601-6018
Phone (540) 536-1680

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
I20240830001233 VA Practitioner - Nurse Practitioner 8224577523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Winchester Community Mental Health Center, Inc.Group PAC ID 9032249214, 13 clinicians

Practice addresses (Care Compare)

36 Ricketts Dr
Winchester, VA 22601-3676
Phone (540) 535-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Community Mental Health Center, Inc. Psychiatric/Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

105 Stony Pointe Way
Ste 210
Strasburg, VA 22657
Phone (540) 465-9606

36 Ricketts Dr
Winchester, VA 22601
Phone (540) 535-1112

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1649029711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N CAMERON ST STE 201",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016018",
            "telephone_number": "540-536-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N CAMERON ST STE 201",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016018",
            "telephone_number": "540-536-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.