DR. LISA ELEANOR JEFFERSON D.O.
NPI 1578502969
Family Medicine in Portsmouth, VA

Q: What is Lisa Jefferson's NPI number?

The NPI number for Lisa Jefferson is 1578502969. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Q: What is Lisa Jefferson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jefferson was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 04, 2006PECOS Enrolled

4106 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701(757) 393-1136(757) 698-2499 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2020, Sep 2, 2020, Oct 27, 2016 (3 updates tracked since 2016).

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About Dr. Lisa Eleanor Jefferson D.o. NPPES

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

DR. LISA ELEANOR JEFFERSON D.O. (NPI 1578502969) is an individual family medicine provider in Portsmouth, Virginia, licensed in Virginia (0102050078) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1578502969

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LISA ELEANOR JEFFERSONCredential: D.O.

Location Address4106 PORTSMOUTH BLVDPortsmouth, VA 23701-2968

Mailing Address4106 Portsmouth BlvdPortsmouth, VA 23701-2968 · (757) 393-1136 · Fax (757) 698-2499

Phone(757) 393-1136

Fax(757) 698-2499

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateJune 4, 2006

Last NPPES UpdateDecember 30, 20203 updates tracked since enumeration

NPPES CertifiedDecember 30, 2020

✔ NPI 1578502969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0102050078

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4106 PORTSMOUTH BLVD, Portsmouth, VA 23701

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Other Identifiers 2

Other54208VA · Optima Health

Other219614VA · Anthem Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Eleanor Jefferson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335240316

PECOS Enrollment IDI20260128001124

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 23701 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 13

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

MRS. KEVA DENISE HOYT FNP-C

Nurse Practitioner (Family)