JESSICA M LISK AG-ACNP
NPI 1144008046
Nurse Practitioner - Acute Care in Charlottesville, VA

Q: What is Jessica Lisk's NPI number?

The NPI number for Jessica Lisk is 1144008046. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Q: What is Jessica Lisk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Lisk was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 20, 2023PECOS EnrolledAccepts Medicare Assignment

1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-9119 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Oct 12, 2023 (2 updates tracked since 2023).

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About Jessica M Lisk Ag-acnp NPPES

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

JESSICA M LISK AG-ACNP (NPI 1144008046) is an individual acute care provider in Charlottesville, Virginia, licensed in Virginia (0024188126) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1144008046

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJESSICA M LISKCredential: AG-ACNP

Location Address1204 W MAIN STCharlottesville, VA 22903-2824

Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000

Phone(434) 924-9119

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 20, 2023

Last NPPES UpdateJune 26, 20252 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1144008046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in VA · 0024188126

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 0024188126 (VA)

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 0024188126 (VA)

1204 W MAIN ST, Charlottesville, VA 22903

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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 243-1000 · Fax (434) 244-7551

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

Jessica M Lisk Ag-acnp 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 ID8527414879

PECOS Enrollment IDI20231024001057

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.

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number490009

Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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.

HEATHER STEVENS SPADER MD

Neurological Surgery