Individual provider Active NPI

Lisa J Simmons, MD

  • Hematology & Oncology Physician
  • Fredericksburg, VA
National Provider Identifier
1790773737
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101251664 Issued in VA
Practice address
4501 Empire CT
Fredericksburg, VA 22408-1949
Phone
(540) 371-0079
Fax
(540) 656-2769
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 33840 IA
Hematology & Oncology Physician 207RH0003X 0101251664 VA Primary

Addresses

Primary practice location

4501 Empire CT
Fredericksburg, VA 22408-1949

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other practice location 1

125 Woodstream Blvd Ste 205
Stafford, VA 22556-4630
Phone (540) 371-0079

Other practice location 2

4545 Empire Ct
Fredericksburg, VA 22408-1949
Phone (540) 371-0079

Other identifiers 4

IdentifierTypeStateIssuer
36328OtherWELLMARK BCBS
1790773737MedicaidIA
2226035MedicaidIA
P00687435OtherIARR MEDICARE

Other names 1

  • Lisa M Jackson Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140618001348 VA Practitioner - Medical Oncology 5799769469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Missouri, Columbia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians
Hematology-Oncology Associates of Fredericksburg IncGroup PAC ID 3577566066, 13 clinicians

Practice addresses (Care Compare)

125 Woodstream Blvd
Suite 205
Stafford, VA 22556-4630
Phone (540) 371-0079

44055 Riverside Pkwy
Suite 224
Lansdowne, VA 20176-5177
Phone (703) 858-3110

4501 Empire CT
Fredericksburg, VA 22408-1949
Phone (540) 371-0079

4545 Empire CT
Fredericksburg, VA 22408-1949
Phone (540) 371-0079

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

Merit-based Incentive Payment System (MIPS)

Final score
85.9 of 100Reported as group
Quality
95.01
Promoting interoperability
100
Improvement activities
40
Cost
49.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Hematology & Oncology CurrentSince Mar 2, 2026 Accepting new patients
Hematology-Oncology Associates of Fredericksburg, Inc. Hematology & Oncology CurrentSince Sep 12, 2017 Accepting new patients
Skaggs Community Hospital Association Hematology & Oncology Past Accepting new patients
Cancer Care of Iowa City LLC Hematology & Oncology Past Accepting new patients
Mercy Services Iowa City, Inc. Past Accepting new patients

Locations

3850 S National Ave
Ste 600
Springfield, MO 65807
Phone (417) 882-4880

4501 Empire Ct
Fredericksburg, VA 22408
Phone (540) 371-0079

4545 Empire Ct
Fredericksburg, VA 22408
Phone (540) 371-0079

44055 Riverside Pkwy
Ste 224
Leesburg, VA 20176
Phone (703) 858-3110

125 Woodstream Blvd
Ste 205
Stafford, VA 22556
Phone (540) 371-0079

Organizations & group practices 6

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 4

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1790773737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 EMPIRE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081949",
            "telephone_number": "540-371-0079",
            "fax_number": "540-656-2769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Woodstream Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225564630",
            "country_code": "US",
            "telephone_number": "540-371-0079",
            "fax_number": "540-656-2653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 Empire Ct",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224081949",
            "country_code": "US",
            "telephone_number": "540-371-0079",
            "fax_number": "540-656-2653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "33840",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101251664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "36328",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790773737",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2226035",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00687435",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "JACKSON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.