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LORI L BALL PMHCNS/FNP
NPI 1063735397
Nurse Practitioner - Psychiatric/Mental Health in Fishersville, VA

Active since March 01, 2010PECOS EnrolledAccepts Medicare Assignment
79 N MEDICAL PARK DR, FISHERSVILLE, VA 22939(540) 213-2525(540) 213-2555 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2024, Nov 30, 2022, Nov 9, 2022 and 3 more (6 updates tracked since 2019).

About Lori L Ball Pmhcns/fnp NPPES

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

LORI L BALL PMHCNS/FNP (NPI 1063735397) is an individual psychiatric/mental health provider in Fishersville, Virginia, licensed in Virginia (0024178103) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1063735397
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLORI L BALLCredential: PMHCNS/FNP
Location Address79 N MEDICAL PARK DRFishersville, VA 22939-2344
Mailing AddressPo Box 388Fishersville, VA 22939-0388 · (540) 213-2525 · Fax (540) 213-2555
Phone(540) 213-2525
Fax(540) 213-2555
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 1, 2010
Last NPPES UpdateDecember 12, 20246 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1063735397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024178103
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024178103 (VA)
79 N MEDICAL PARK DR, Fishersville, VA 22939
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori L Ball Pmhcns/fnp 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 ID244367738
PECOS Enrollment IDI20191126000180
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lori Ball reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Virginia Physicians Group
26 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000
Light Counseling, Inc.
53 mi
Professional
1075 LIGHT BLVD
Forest, VA 24551
  • Reassigned Medicare billing, Virginia enrollment
  • 31 clinicians in this Medicare group
NPI 1154422764 (434) 384-1594
In Harmony Wellness Ihw LLC
160 mi
Social Worker
4410 CLAIBORNE SQ E STE 334
Hampton, VA 23666
  • Reassigned Medicare billing, Virginia enrollment
  • 27 clinicians in this Medicare group
NPI 1477047546 (757) 650-2953

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
45 services25 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.
33 services17 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

S EUGENE REYNOLDS LCSW
Social Worker (Clinical)
79 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Augusta County (540) 213-2525
MS. LISA M TOMALA LPC, MS
Counselor (Professional)
79 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Augusta County (540) 213-2525
NOEL PATRICE DIANAS-HUGHES LCSW
Social Worker (Clinical)
79 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Augusta County (540) 213-2525
JANE BLOSSER RD
Dietitian, Registered
79 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Augusta County (540) 932-4708
CYNTHIA LYNN PENDER LCSW
Social Worker (Clinical)
79 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Augusta County (540) 213-2525
MARTHA M SHERIDAN LPC
Counselor (Professional)
79 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Augusta County (540) 213-2525
MEGHAN E. GAARE M.D.
Psychiatry & Neurology (Psychiatry)
79 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Augusta County (540) 213-2525
LAURA ELIZABETH COOK PHYSICIAN ASSISTANT
Physician Assistant
79 N MEDICAL PARK DR
FISHERSVILLE, VA 22939
Augusta County (540) 213-2525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Ball's NPI number?

The NPI number for Lori Ball is 1063735397. It was assigned to this individual provider in the NPPES registry on March 1, 2010.

Where is Lori Ball located?

Lori Ball practices at 79 N Medical Park Dr, Fishersville, VA 22939. The listed phone number is (540) 213-2525.

What is Lori Ball's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lori Ball enrolled in Medicare?

Yes. Lori Ball is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lori Ball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Ball reassigns Medicare benefits to 3 organizations: University Of Virginia Physicians Group (Charlottesville, VA), Light Counseling, Inc. (Forest, VA) and In Harmony Wellness Ihw LLC (Hampton, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lori Ball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Ball accept?

Health plans from Oscar Health list Lori Ball as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lori Ball was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.