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LIETZLE ANN FORD FNP-C
NPI 1184199598
Nurse Practitioner - Family in Palmyra, VA

Active since October 11, 2018PECOS Enrolled
87.2/100
CMS Quality Rating

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 11, 2023, Oct 11, 2018 (2 updates tracked since 2018).

About Lietzle Ann Ford Fnp-c NPPES

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

LIETZLE ANN FORD FNP-C (NPI 1184199598) is an individual family provider in Palmyra, Virginia, licensed in Virginia (0024176660) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184199598
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLIETZLE ANN FORDCredential: FNP-C
Location Address28 ABBY RDPalmyra, VA 22963-2085
Mailing Address28 Abby RdPalmyra, VA 22963-2085 · (434) 589-2278
Phone(540) 661-2533
Sole ProprietorNo
Enumeration DateOctober 11, 2018
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1184199598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024176660
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0024176660 (VA)
28 ABBY RD, Palmyra, VA 22963
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lietzle Ann Ford Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22963 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.74
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 8

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

MICHELLE WELLMAN RPH
Pharmacist
28 ABBY RD
PALMYRA, VA 22963
Fluvanna County (434) 589-2278
JENNIFER BUCKNAM
Nurse Practitioner (Family)
28 ABBY RD
PALMYRA, VA 22963
Fluvanna County (434) 589-2278
NIKKITA A SAUNDERS NP
Nurse Practitioner (Family)
28 ABBY RD
PALMYRA, VA 22963
Fluvanna County (434) 589-2287
DR. GETACHEW ALI AMEDIE PHARMACIST
Pharmacist
28 ABBY RD
PALMYRA, VA 22963
Fluvanna County (434) 589-2278
VIRGINIA CVS PHARMACY, L.L.C.
Pharmacy
28 ABBY RD
PALMYRA, VA 22963
Fluvanna County (434) 589-2278
NICOLAS BUSTROS
Pharmacist
28 ABBY RD
PALMYRA, VA 22963
Fluvanna County (434) 589-2278
JOSEPH SHELTON NP
Nurse Practitioner (Family)
28 ABBY RD
PALMYRA, VA 22963
Fluvanna County (866) 389-2727
TANYA H BROWN FNP-C
Nurse Practitioner (Family)
28 ABBY RD
PALMYRA, VA 22963
Fluvanna County (663) 892-7278

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 Lietzle Ford's NPI number?

The NPI number for Lietzle Ford is 1184199598. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Where is Lietzle Ford located?

Lietzle Ford practices at 28 Abby Rd, Palmyra, VA 22963. The listed phone number is (540) 661-2533.

What is Lietzle Ford's specialty?

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

Is Lietzle Ford enrolled in Medicare?

Yes. Lietzle Ford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lietzle Ford was last updated on April 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.