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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MISS LISA MARIE WILD-GINGELESKI NP
NPI 1649192113
Nurse Practitioner - Psychiatric/Mental Health in Roanoke, VA

Active since July 28, 2026
4511 PEACH TREE DR NW, ROANOKE, VA 24017(607) 745-0162 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Lisa Marie Wild-gingeleski Np NPPES

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

MISS LISA MARIE WILD-GINGELESKI NP (NPI 1649192113) is an individual psychiatric/mental health provider in Roanoke, Virginia, licensed in Virginia (0024198166) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1649192113
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISS LISA MARIE WILD-GINGELESKICredential: NP
Location Address4511 PEACH TREE DR NWRoanoke, VA 24017-2021
Mailing Address4511 Peach Tree Dr NwRoanoke, VA 24017-2021 · (607) 745-0162
Phone(607) 745-0162
Sole ProprietorNo
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1649192113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024198166
4511 PEACH TREE DR NW, Roanoke, VA 24017
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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 Wild-gingeleski's NPI number?

The NPI number for Lisa Wild-gingeleski is 1649192113. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Where is Lisa Wild-gingeleski located?

Lisa Wild-gingeleski practices at 4511 Peach Tree Dr NW, Roanoke, VA 24017. The listed phone number is (607) 745-0162.

What is Lisa Wild-gingeleski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lisa Wild-gingeleski was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.