LISA PETTY (FNP-C) – Family Medicine Physician, NPI 1518513118

LISA PETTY (FNP-C) is a healthcare provider. based in Tappahannock, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 0024177799 (VA). The NPI Number for LISA PETTY (FNP-C) is 1518513118

Main info

Female
Sole Proprietor
7 Years Of Experience
Name
LISA PETTY (FNP-C)
NPI
1518513118
Phone
(804) 443-8628
Address
618 HOSPITAL RD
Enumeration Date
11 August 2019
Last Update Date
27 January 2022

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5407095173
Graduation Year
2019 (7 years ago)
PAC ID
8921430414
Group Practice PAC ID
8921338427
Professional Enrollment ID
I20191121002936
Address ID
VA224853468KI11131PKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

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Provider Addresses for LISA PETTY (FNP-C)

  • Riverside Tappahannock Hospital, 618, Hospital Road, Brays, Tappahannock, Essex County, Virginia, 22560, United States

    TAPPAHANNOCK, VA 225605000

    Phone: (804) 443-8628

    Type: Location

  • 11131 Journal Pkwy

    King George, VA 224853468

    Phone: (540) 741-1100

    Type: Location

  • P.O. BOX 411

    MONTROSS, VA 22520

    Phone: (443) 966-5191

    Type: Mailing

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: 2019-11-21

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
I20191121002936INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes197172$0
99214Established patient office or other outpatient visit, 30-39 minutes137129$0
99203New patient office or other outpatient visit, 30-44 minutes7373$0
99204New patient office or other outpatient visit, 45-59 minutes7171$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus6969$0
View full utilization report →

Insurance plans in this area (ZIP 22560)

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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: 8921338427View full group profile
NameSpecialtyState
Physician AssistantVA
-VA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
-CA
Family Practice, Emergency MedicineVA
Physician AssistantCA

Reviews

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Frequently asked questions

What federal number belongs to LISA PETTY (FNP-C)?
The federal identifier for LISA PETTY (FNP-C) is NPI 1518513118.
Is LISA PETTY (FNP-C) currently active in the NPI registry?
CMS-published data lists LISA PETTY (FNP-C) as an active registrant.
What does LISA PETTY (FNP-C) treat or focus on?
Patients typically see LISA PETTY (FNP-C) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does LISA PETTY (FNP-C) practice in Virginia?
You will see Tappahannock, Virginia on file for LISA PETTY (FNP-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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