JULIA GRACE LIZOTTE (FNP-C) – Family Nurse Practitioner, NPI 1174089114

JULIA GRACE LIZOTTE (FNP-C) is a healthcare provider. based in Roanoke, Virginia. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. 0024176607 (VA). The NPI Number for JULIA GRACE LIZOTTE (FNP-C) is 1174089114

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JULIA GRACE LIZOTTE (FNP-C)
NPI
1174089114
Phone
(540) 345-3556
Address
PO BOX 8310
Enumeration Date
14 February 2019
Last Update Date
20 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5403453894
Graduation Year
2018 (8 years ago)
PAC ID
5193154466
Group Practice PAC ID
5597912626
Professional Enrollment ID
I20200408000232
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for JULIA GRACE LIZOTTE (FNP-C)

  • PO BOX 8310

    ROANOKE, VA 240140310

    Phone: (540) 345-3556

    Type: Mailing

  • 705 MAIN ST

    DANVILLE, VA 245411803

    Phone: (434) 791-4122

    Type: Mailing

  • 701 BROAD ST

    DANVILLE, VA 245412627

    Phone: (434) 266-9657

    Fax: (434) 791-2191

    Type: Location

  • 2344, Riverside Drive, Sherwood Forest, Danville, Danville City, Virginia, 24540, United States

    DANVILLE, VA 245404212

    Phone: (540) 345-3556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200408000232INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597912626View full group profile
NameSpecialtyState
Nurse PractitionerNC
-NC
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Family PracticeNC
Nurse PractitionerNC
Nurse PractitionerWV
Nurse PractitionerNC

Reviews

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Frequently asked questions

How do I look up JULIA GRACE LIZOTTE (FNP-C) by NPI?
Use NPI 1174089114 when you need to reference JULIA GRACE LIZOTTE (FNP-C) in forms, claims, or directories.
Does this profile mean JULIA GRACE LIZOTTE (FNP-C) is currently active?
Yes — JULIA GRACE LIZOTTE (FNP-C) appears active in the national provider directory.
What kind of provider is JULIA GRACE LIZOTTE (FNP-C)?
The page reflects Family Nurse Practitioner for JULIA GRACE LIZOTTE (FNP-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for JULIA GRACE LIZOTTE (FNP-C)?
The page summarizes Roanoke, Virginia for JULIA GRACE LIZOTTE (FNP-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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