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LISA SUMMERS FNP
NPI 1093190431
Nurse Practitioner - Family in Cedar Grove, WV

Active since July 28, 2015PECOS EnrolledAccepts Medicare Assignment
408 ALEXANDER STREET, CEDAR GROVE, WV 25309(304) 595-1770(304) 595-3298 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2025, Aug 9, 2018 (2 updates tracked since 2018).

About Lisa Summers Fnp NPPES

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

LISA SUMMERS FNP (NPI 1093190431) is an individual family provider in Cedar Grove, West Virginia, licensed in West Virginia (71874) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093190431
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA SUMMERSCredential: FNP
Location Address408 ALEXANDER STREETCedar Grove, WV 25309
Mailing Address2585 3rd AveHuntington, WV 25703-1642 · (304) 697-1396 · Fax (304) 697-2086
Phone(304) 595-1770
Fax(304) 595-3298
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 28, 2015
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1093190431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 71874
408 ALEXANDER STREET, Cedar Grove, WV 25309
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13729 Teays Valley RdHurricane, WV 25526-9705 · Phone (304) 760-6040 · Fax (304) 760-6042
Location 2131 Eastwood AcresNitro, WV 25143-1400 · Phone (304) 395-1299

Other Identifiers 2

Medicaid1093190431WV
Medicaid0287208OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Summers 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 ID3870883143
PECOS Enrollment IDI20160531000175
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

2

Medicare enrollment records show Lisa Summers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Health Systems Inc
Same address
Federally Qualified Health Center (FQHC)
408 ALEXANDER STREET
Cedar Grove, WV 25039
NPI 1699740472 (304) 595-1770
Charleston Area Medical Center, Inc.
14 mi
Orthopaedic Surgery
415 MORRIS ST STE 400
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1750166898 (304) 344-3551

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

Hospital Affiliations CMS Care Compare 3

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Montgomery General Hospital, Inc

Critical Access Hospitals · Montgomery, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511318
Location401 Sixth AvenueMontgomery, WV 25136 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers37 claims98 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers16 claims20 services$1.07 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$15.29 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers36 claims36 services$77.64 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$29.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

VALLEY HEALTH SYSTEMS INC
Dentist
408 ALEXANDER STREET, P.O. BOX F
CEDAR GROVE, WV 25309
Kanawha County (304) 595-1770
BRIDGETT FREEMAN FNP
Nurse Practitioner (Family)
408 ALEXANDER STREET
CEDAR GROVE, WV 25309
Kanawha County (304) 595-1770

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 Lisa Summers's NPI number?

The NPI number for Lisa Summers is 1093190431. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Lisa Summers located?

Lisa Summers practices at 408 Alexander Street, Cedar Grove, WV 25309. The listed phone number is (304) 595-1770.

What is Lisa Summers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Summers enrolled in Medicare?

Yes. Lisa Summers 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 Lisa Summers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Summers reassigns Medicare benefits to 2 organizations: Valley Health Systems Inc (Cedar Grove, WV) and Charleston Area Medical Center, Inc. (Charleston, WV). 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 Lisa Summers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Summers accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Lisa Summers 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.

Is Lisa Summers affiliated with any hospitals?

According to CMS data, Lisa Summers is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital and Montgomery General Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Lisa Summers was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.