Individual provider Active NPI

Lisa Lister Adkins, CRNP

  • Adult Health Nurse Practitioner
  • Centreville, MD
National Provider Identifier
1992197800
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R130128 Issued in MD
Practice address
255 Comet Dr
Centreville, MD 21617-2647
Phone
(443) 262-4100
Fax
(410) 758-5471
NPI assigned
Mar 2, 2015
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R130128 MD Primary

Addresses

Primary practice location

255 Comet Dr
Centreville, MD 21617-2647

Mailing address

613 Watson Rd
Centreville, MD 21617-2315
Phone (410) 490-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170523000190 MD Practitioner - Nurse Practitioner 7719254796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilchrist Hospice Care IncGroup PAC ID 2769580422, 52 clinicians

Practice addresses (Care Compare)

6701 N Charles St
4105 Gilchrist Elder Medical Care
Gilchrist Elder Medical C, MD 21204-6808
Phone (443) 849-3184

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.63 of 100Reported as apm
Quality
67.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R130128MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc. CurrentSince Apr 24, 2017 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Apr 24, 2017 Accepting new patients
Gilchrist Hospice Care, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Gilchrist Hospice Care, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Gilchrist Hospice Care Inc. Past Accepting new patients

Locations

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1992197800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 WATSON RD",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172315",
            "telephone_number": "410-490-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 COMET DR",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172647",
            "telephone_number": "443-262-4100",
            "fax_number": "410-758-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "LISA",
        "middle_name": "LISTER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R130128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MD

Sources for this page

Verify at the official NPI Registry.