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LISA GILBERT APRN
NPI 1770950370
Nurse Practitioner in Keyser, WV

Active since August 31, 2015PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
514 NEW CREEK HWY STE 1, KEYSER, WV 26726(304) 788-6462(304) 788-6555 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Gilbert Aprn NPPES

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

LISA GILBERT APRN (NPI 1770950370) is an individual nurse practitioner in Keyser, West Virginia, licensed in West Virginia (89322) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of West Virginia University School Of Medicine (2015).

NPPES Registry Identity

NPI1770950370
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA GILBERTCredential: APRN
Location Address514 NEW CREEK HWY STE 1Keyser, WV 26726-9526
Mailing Address89 Bellamont LnNew Creek, WV 26743-4541 · (304) 276-5472
Phone(304) 788-6462
Fax(304) 788-6555
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2015
Enumeration DateAugust 31, 2015
Last NPPES UpdateAugust 23, 2016
✔ NPI 1770950370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WV · 89322
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
514 NEW CREEK HWY STE 1, Keyser, WV 26726
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Gilbert Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527376169
PECOS Enrollment IDI20151001001682
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
54 services53 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
25 services25 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26726 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

MARTIE HELMICK
Nurse Practitioner (Family)
514 NEW CREEK HWY STE 1
KEYSER, WV 26726
Mineral County (304) 788-6462
POTOMAC VALLEY HOSPITAL OF W VA , INC
Family Medicine
514 NEW CREEK HWY STE 1
KEYSER, WV 26726
Mineral County (304) 597-3670

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 Gilbert's NPI number?

The NPI number for Lisa Gilbert is 1770950370. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Lisa Gilbert located?

Lisa Gilbert practices at 514 New Creek Hwy Ste 1, Keyser, WV 26726. The listed phone number is (304) 788-6462.

What is Lisa Gilbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Gilbert enrolled in Medicare?

Yes. Lisa Gilbert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Gilbert accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Lisa Gilbert 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.

Is Lisa Gilbert affiliated with any hospitals?

According to CMS data, Lisa Gilbert is affiliated with Reynolds Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Gilbert was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.