Individual provider Active NPI

Lisa Mae Henry, FNP-BC

  • Family Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1659628972
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
51798 Issued in WV
Practice address
2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1134
Phone
(304) 599-8802
Fax
(304) 599-5607
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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 51798 WV Primary

Addresses

Primary practice location

2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1134

Mailing address

2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1134
Phone (304) 599-8802

Other practice location 1

213 Main St
Elkins, WV 26241-4161
Phone (304) 636-5006

Other practice location 2

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-4701

Other practice location 3

1325 Locust Ave # 32
Fairmont, WV 26554-1435
Phone (304) 363-6210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20121226000118 WV Practitioner - Nurse Practitioner 3173776184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
West Virginia University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monongalia County General Hospital CompanyGroup PAC ID 9638073380, 241 clinicians

Practice addresses (Care Compare)

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

501 Railroad Ave
Elkins, WV 26241-3885
Phone (304) 636-5006

Hospital & facility affiliations

  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024
  • Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027
  • Preston Memorial Hospital Hospital, Kingwood, WV, CCN 511312
  • Grafton City Hospital, Inc Hospital, Grafton, WV, CCN 511307
  • St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51798WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monongalia County General Hospital Company CurrentSince Mar 17, 2018 Accepting new patients
West Virginia University Hospitals, Inc. PastSince Oct 3, 2012 Accepting new patients
West Virginia University Medical Corporation PastSince Oct 3, 2012 Accepting new patients

Locations

213 Main St
Elkins, WV 26241
Phone (304) 636-5006

1325 Locust Ave
#32
Fairmont, WV 26554
Phone (304) 363-6210

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

2000 Mon Health Medical Park Dr
Ste 2300
Morgantown, WV 26505
Phone (304) 599-8802

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 9

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1659628972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2300",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051134",
            "telephone_number": "304-599-8802",
            "fax_number": "304-599-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2300",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051134",
            "telephone_number": "304-599-8802",
            "fax_number": "304-599-5607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Main St",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262414161",
            "country_code": "US",
            "telephone_number": "304-636-5006",
            "fax_number": "304-636-0952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "WV",
            "postal_code": "265371141",
            "country_code": "US",
            "telephone_number": "304-329-4701",
            "fax_number": "304-329-4716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Locust Ave # 32",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265541435",
            "country_code": "US",
            "telephone_number": "304-363-6210",
            "fax_number": "304-363-0952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LISA",
        "middle_name": "MAE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "51798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.