Individual provider Active NPI

Lisa Queen, NP

  • Nurse Practitioner
  • Oak Hill, WV
National Provider Identifier
1992925648
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
49029 Issued in WV
Practice address
497 Mall Rd
Oak Hill, WV 25901-6216
Phone
(304) 469-2905
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 49029 WV Primary

Addresses

Primary practice location

497 Mall Rd
Oak Hill, WV 25901-6216

Mailing address

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

Other identifiers 3

IdentifierTypeStateIssuer
1071586OtherWVWV DWC
3810021657MedicaidWV
001984820OtherWVBLUE CROSS BLUE SHIELD

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
I20070530000150 WV Practitioner - Nurse Practitioner 0547367419 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
JC Edwards School of Medicine, Marshall University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New River Health Association IncGroup PAC ID 2365348596, 36 clinicians

Practice addresses (Care Compare)

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
New River Health Association, Inc. CurrentSince Aug 30, 2024 Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. CurrentSince Jan 2, 2013 Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc Current Accepting new patients
Lincoln County Primary Care Center, Inc. CurrentSince Jan 2, 2013 Accepting new patients
Lincoln County Primary Care Center, Inc Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc CurrentSince Jan 2, 2013 Accepting new patients
New River Health Association, Inc. CurrentSince Aug 30, 2024 Accepting new patients
New Century Emergency Physician of West Virginia Inc Nurse Practitioner Past Accepting new patients
New River Health Association, Inc. Past Accepting new patients
Lincoln County Primary Care Center, Inc Past Accepting new patients

Locations

267 Midway Rd
Alum Creek, WV 25003
Phone (304) 756-1007

5322 McClellan Hwy
Branchland, WV 25506
Phone (304) 824-5707

506 Crawley Creek Rd
Chapmanville, WV 25508
Phone (304) 855-0245

5304 Straight Frk
Griffithsville, WV 25521
Phone (304) 524-9241

7400 Lynn Ave
Hamlin, WV 25523

81 Lincoln Panther Way
Hamlin, WV 25523
Phone (304) 824-6090

1 Wildcat Way
Logan, WV 25601
Phone (304) 688-9949

122 Nick Savas Dr
Logan, WV 25601
Phone (304) 752-8081

1 Pioneer Path
Man, WV 25635
Phone (304) 583-7295

650 E McDonald Ave
Man, WV 25635
Phone (304) 583-8585

497 Mall Rd
Oak Hill, WV 25901
Phone (304) 469-3261

59 Vanatters Crk
Ranger, WV 25557
Phone (304) 778-3084

1563 Sand Plant Rd
South Charleston, WV 25309
Phone (304) 756-1500

Interoperability endpoints

  • Direct secure messaging: lisa.queen.1@16450.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1992925648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "49029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DWC",
            "identifier": "1071586",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810021657",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001984820",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

Verify at the official NPI Registry.