LISA A CHILDRESS (FNP-C, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1770983785
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LISA A CHILDRESS (FNP-C, PMHNP-BC)
4033 RHODES AVE
NEW BOSTON, OH 456625556
Phone: (740) 529-1201
Fax: (740) 529-0861
Type: Location
400 E STATE ST STE D
ATHENS, OH 457011870
Phone: (740) 326-6110
Type: Location
PO BOX 1680
HUNTINGTON, WV 257171680
Phone: (304) 697-1396
Fax: (304) 697-2086
Type: Mailing
3375 US ROUTE 60
HUNTINGTON, WV 257052837
Phone: (304) 399-7770
Fax: (304) 525-1730
Type: Location
3235 County Road 17
South Point, OH 456807693
Phone: (740) 646-5517
Fax: (606) 408-6612
Type: Location
PO BOX 1595
ASHLAND, KY 411051595
Phone: (606) 408-6200
Fax: (606) 408-6612
Type: Mailing
2301 LEXINGTON AVE STE 125
ASHLAND, KY 411012800
Phone: (606) 408-7800
Fax: (606) 408-6800
Type: Location
8308 OHIO RIVER RD STE B
WHEELERSBURG, OH 456941713
Phone: (740) 529-1201
Fax: (740) 529-0861
Type: Location
3235 COUNTY ROAD 17
SOUTH POINT, OH 456807693
Phone: (740) 646-5517
Fax: (740) 529-0861
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $574.
Total Amount is formed as General ($574) + Research ($0) + Ownership ($0) = $574.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABBVIE INC. ($305).
Total Amount
$574
General + Research + Ownership
Payments
20
Total payment records
General Amount
$574
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $305 |
| Supernus Pharmaceuticals, Inc. | $63 |
| Alkermes, Inc. | $45 |
| Axsome Therapeutics, Inc. | $40 |
| Braeburn Inc. | $36 |
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: 2021-04-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (951 days ago).
Enrollment records
3
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141027000629 | I | Nurse Practitioner | WV | 2023-10-31 |
| I20190724003649 | I | Nurse Practitioner | OH | TBD |
| I20210413002607 | I | Nurse Practitioner | KY | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 45662)
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