Lisa Deppmeier, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110-003928 Issued in VA

Practice address

2501 Parkers LN
Inova Mt Vernon Wound Healing Center
Alexandria, VA 22306-3209

Phone

(703) 664-8020

Fax

(703) 664-7317

NPI assigned

May 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Clinic IncGroup PAC ID 8921998808, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Castle Hospital, Kailua, HI, CCN 120006
• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Medical Clinic, Inc.

  • Multi-Specialty Clinic/Center
  • Kailua, HI
  • NPI 1144234402
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Castle Medical Center

  • General Acute Care Hospital
  • Kailua, HI
  • NPI 1316937691
  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480809600000",
    "number": "1871886697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PARKERS LN",
            "address_2": "INOVA MT VERNON WOUND HEALING CENTER",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063209",
            "telephone_number": "703-664-8020",
            "fax_number": "703-664-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PARKERS LN",
            "address_2": "INOVA MT VERNON WOUND HEALING CENTER",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063209",
            "telephone_number": "703-664-8020",
            "fax_number": "703-664-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPPMEIER",
        "first_name": "LISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2016-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-003928",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Christopher Denton, LPC
• Anushka Narayan Deogaonkar, MBBS
• Dependable Home Health Services
• Dependable Home Health Services, Inc
• Julien Depeyrot, SPT
• Yalemefrea Dereba
• Derek Morch LCSW LLC
• Laurence Marion Deshields, MD
• Desired Homecare and Therapeutic Services LLC
• Avital Yael Deskalo, LP

• Physician Assistant in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.