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LISA VIRGINIA WHARTON PA-C
NPI 1205177714
Physician Assistant - Medical in Washington, NC

Active since March 07, 2013PECOS Enrolled
1412 CAROLINA AVE, WASHINGTON, NC 27889(252) 623-2000 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Virginia Wharton Pa-c NPPES

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

LISA VIRGINIA WHARTON PA-C (NPI 1205177714) is an individual medical provider in Washington, North Carolina, licensed in North Carolina (0010-04063) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205177714
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLISA VIRGINIA WHARTONCredential: PA-C
Location Address1412 CAROLINA AVEWashington, NC 27889-3314
Mailing Address104 Perquimans DrChocowinity, NC 27817-8886 · (336) 251-5646
Phone(252) 623-2000
Sole ProprietorNo
Enumeration DateMarch 7, 2013
Last NPPES UpdateSeptember 23, 2014
✔ NPI 1205177714 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
License✔ Licensed in NC · 0010-04063
1412 CAROLINA AVE, Washington, NC 27889
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Other Names 1

Former Name (1)Lisa Virginia Kottke

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Virginia Wharton Pa-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.

Other Providers at the Same Location NPPES

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

KIMBERLY LEA THOMPSON-TUCKER PA-C
Physician Assistant
1412 CAROLINA AVE
WASHINGTON, NC 27889
Beaufort County (252) 623-2000

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 Wharton's NPI number?

The NPI number for Lisa Wharton is 1205177714. It was assigned to this individual provider in the NPPES registry on March 7, 2013. The provider is also known as Lisa Virginia Kottke.

Where is Lisa Wharton located?

Lisa Wharton practices at 1412 Carolina Ave, Washington, NC 27889. The listed phone number is (252) 623-2000.

What is Lisa Wharton's specialty?

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

Is Lisa Wharton enrolled in Medicare?

Yes. Lisa Wharton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Wharton was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.