Individual provider Active NPI

Lisa Mollohan Repasky, P.A.

  • Physician Assistant
  • Roanoke, VA
National Provider Identifier
1952345456
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110840808 Issued in VA
Practice address
3707 Brambleton Ave Ste 2
Roanoke, VA 24018-3658
Phone
(540) 725-7800
Fax
(540) 989-6752
NPI assigned
Jun 15, 2006
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110840808 VA Primary

Addresses

Primary practice location

3707 Brambleton Ave Ste 2
Roanoke, VA 24018-3658

Mailing address

3707 Brambleton Ave Ste 2
Roanoke, VA 24018-3658
Phone (540) 725-7800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lrepasky89313@direct.carilionclinic.org Direct

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
I20060824000121 VA Practitioner - Physician Assistant 3173526597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

150 Market Ridge LN
Daleville, VA 24083-3258
Phone (540) 966-0400

3707 Brambleton Ave SW
2 Carilion Family Medicine Brambleton
Roanoke, VA 24018-3658
Phone (540) 725-7800

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110840808VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Murray E Joiner Jr MD PC Physician Assistant CurrentSince Jun 1, 2006 Accepting new patients
Carilion Healthcare Corporation CurrentSince Apr 3, 2017 Accepting new patients
Murray E Joiner Jr MD PC CurrentSince Jun 1, 2006 Accepting new patients

Locations

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

2726 Electric Rd
Ste 203
Roanoke, VA 24018
Phone (540) 772-4448

3707 Brambleton Ave
Ste 2
Roanoke, VA 24018
Phone (540) 725-7800

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: lrepasky89313@direct.carilionclinic.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1952345456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 BRAMBLETON AVE STE 2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183658",
            "telephone_number": "540-725-7800",
            "fax_number": "540-989-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 BRAMBLETON AVE STE 2",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183658",
            "telephone_number": "540-725-7800",
            "fax_number": "540-989-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPASKY",
        "first_name": "LISA",
        "middle_name": "MOLLOHAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110840808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrepasky89313@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lrepasky89313@direct.carilionclinic.org",
            "address_1": "3707 Brambleton Ave Ste 2",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240183658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.