MS. LISA MARIE SHINE FNP
NPI 1649879545
Nurse Practitioner - Family in Arlington, VA
About Ms. Lisa Marie Shine Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LISA MARIE SHINE FNP (NPI 1649879545) is an individual family provider in Arlington, Virginia, licensed in District Of Columbia (RN1034257) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Lisa Marie Shine Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ARLINGTON, VA 22207
ARLINGTON, VA 22207
ARLINGTON, VA 22207
ARLINGTON, VA 22207
ARLINGTON, VA 22207
ARLINGTON, VA 22207
ARLINGTON, VA 22207
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 Shine's NPI number?
The NPI number for Lisa Shine is 1649879545. It was assigned to this individual provider in the NPPES registry on October 21, 2020.
Where is Lisa Shine located?
Lisa Shine practices at 2807 N Glebe Rd, Arlington, VA 22207. The listed phone number is (703) 908-7565.
What is Lisa Shine's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Shine enrolled in Medicare?
Yes. Lisa Shine is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lisa Shine was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Lisa Marie Shine, FNP · NPI 1649879545
Family physician in Arlington, Virginia. Individual provider, active in the CMS NPPES registry since October 21, 2020.
## Identity
- **NPI:** 1649879545 (Entity type: Individual)
- **Enumerated:** October 21, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN1034257 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2807 N GLEBE RD, Arlington, VA 22207-4299
- **Phone:** (703) 908-7565
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1649879545) · Data from the CMS NPPES public registry.