LISA HARNUM M.D.
NPI 1316916851
Pediatrics in Culpeper, VA

Q: What is Lisa Harnum's NPI number?

The NPI number for Lisa Harnum is 1316916851. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is Lisa Harnum's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Harnum was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 16, 2006PECOS Enrolled

15237 CREATIVITY DR, CULPEPER, VA 22701(540) 321-4281(540) 321-4282 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lisa Harnum M.d. NPPES

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

LISA HARNUM M.D. (NPI 1316916851) is an individual pediatrics provider in Culpeper, Virginia, licensed in Virginia (0101043994) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1316916851

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameLISA HARNUMCredential: M.D.

Location Address15237 CREATIVITY DRCulpeper, VA 22701

Mailing AddressPo Box 21975Belfast, ME 04915-4116 · (540) 321-4281 · Fax (540) 321-4282

Phone(540) 321-4281

Fax(540) 321-4282

Sole ProprietorNo

Enumeration DateMarch 16, 2006

Last NPPES UpdateMay 20, 2019

✔ NPI 1316916851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in VA · 0101043994

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

15237 CREATIVITY DR, Culpeper, VA 22701

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Secondary Practice Locations 3

Location 110623 Crestwood DrManassas, VA 20109-3433 · Phone (703) 361-7131 · Fax (703) 330-2065

Location 22503 S Seminole TrlMadison, VA 22727-2690 · Phone (540) 948-6871 · Fax (540) 948-6601

Location 3541 Sunset Ln Ste 301Culpeper, VA 22701-3979 · Phone (540) 825-4557 · Fax (540) 825-4566

Other Identifiers 1

Medicaid1316916851VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, 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 (PECOS)

Lisa Harnum M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Harnum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC

54 mi

Internal Medicine

950 N GLEBE RD STE 700
Arlington, VA 22203

Reassigned Medicare billing, Virginia enrollment
1,315 clinicians in this Medicare group

NPI 1013042480 (571) 366-8850

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22701 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 15

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

MS. ERIN NICOLE LOPEZ PA-C

Physician Assistant

15237 CREATIVITY DR
CULPEPER, VA 22701

Culpeper County (540) 321-4281

SHENANDOAH FAMILY URGENT CARE, LLC

Clinic/Center (Urgent Care)

15237 CREATIVITY DR, SUITE 103
CULPEPER, VA 22701

Culpeper County (540) 380-8225

ABIGAIL RENNIE CARRUTHERS

Physician Assistant (Medical)

15237 CREATIVITY DR
CULPEPER, VA 22701

Culpeper County (540) 321-4281

BERNADETTE M. FOCAZIO A.N.P

Nurse Practitioner (Adult Health)

15237 CREATIVITY DR
CULPEPER, VA 22701

Culpeper County (540) 321-4281

SHENANDOAH FAMILY PRACTICE, LLC

Clinic/Center

15237 CREATIVITY DR, SUITE 101
CULPEPER, VA 22701

Culpeper County (540) 380-8231

RIDGELINE PHYSICIAN SERVICES, LLC

Clinic/Center (Multi-Specialty)

15237 CREATIVITY DR
CULPEPER, VA 22701

Culpeper County (540) 321-4281

STEPHANIE M GRICE MD

Pediatrics

15237 CREATIVITY DR
CULPEPER, VA 22701

Culpeper County (540) 321-4281

MRS. AMBER D. MULLINS NP-C

Nurse Practitioner (Family)

15237 CREATIVITY DR
CULPEPER, VA 22701

Culpeper County (540) 321-4281

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 Harnum's NPI number?

The NPI number for Lisa Harnum is 1316916851. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Lisa Harnum located?

Lisa Harnum practices at 15237 Creativity Dr, Culpeper, VA 22701. The listed phone number is (540) 321-4281.

What is Lisa Harnum's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lisa Harnum enrolled in Medicare?

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

Which organization bills Medicare for Lisa Harnum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Harnum reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). The 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 Harnum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Harnum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Highmark Blue Cross Blue Shield Delaware and 1 other insurer list Lisa Harnum 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 Lisa Harnum was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.