LISA MARIE TOLLIVER PA-C
NPI 1043598485
Physician Assistant - Medical in Proctorville, OH

Q: What is Lisa Tolliver's NPI number?

The NPI number for Lisa Tolliver is 1043598485. It was assigned to this individual provider in the NPPES registry on August 3, 2011. The provider is also known as Lisa Marie Culbertson PA.

Q: What is Lisa Tolliver's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Tolliver was last updated on November 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 03, 2011PECOS EnrolledAccepts Medicare Assignment

6276 COUNTY ROAD 107, PROCTORVILLE, OH 45669(888) 221-1826 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2021, Sep 4, 2020, May 17, 2018 and 1 more (4 updates tracked since 2016).

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About Lisa Marie Tolliver Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MARIE TOLLIVER PA-C (NPI 1043598485) is an individual medical provider in Proctorville, Ohio, licensed in Kentucky (PA1634) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043598485

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLISA MARIE TOLLIVERCredential: PA-C

Location Address6276 COUNTY ROAD 107Proctorville, OH 45669-8867

Mailing AddressPo Box 390Huntington, WV 25708-0390 · (304) 429-1088 · Fax (304) 696-1623

Phone(888) 221-1826

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateAugust 3, 2011

Last NPPES UpdateNovember 10, 20214 updates tracked since enumeration

NPPES CertifiedNovember 10, 2021

✔ NPI 1043598485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in KY · PA1634✔ Licensed in WV · 2555✔ Licensed in OH · 50.003489

6276 COUNTY ROAD 107, Proctorville, OH 45669

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Other Names 1

Former Name (1)Lisa Marie Culbertson Pa

Secondary Practice Locations 2

Location 18991 Ohio River RdWheelersburg, OH 45694-1923 · Phone (888) 221-1826

Location 2500 Burlington RdJackson, OH 45640 · Phone (740) 395-8316

Other Identifiers 4

Medicaid1043598485WV

OtherP01094323KY · Rr Medicare

Medicaid0166746OH

Medicaid7100179880KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Marie Tolliver Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890965115

PECOS Enrollment IDI20110824000457, I20130507000223, I20220121001624

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

79 services79 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

48 services48 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services16 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360361

Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County

Emergency services

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OVP HEALTH CARE INC

Clinic/Center (Federally Qualified Health Center (FQHC))