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LISELI WHITLY JAMES
NPI 1801317235
Family Medicine in Martinsburg, WV

Active since July 06, 2017PECOS EnrolledAccepts Medicare Assignment
120 CAMPUS DR, MARTINSBURG, WV 25404(681) 247-1250 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2021, Jun 29, 2021, Oct 22, 2018 and 1 more (4 updates tracked since 2017).

About Liseli Whitly James NPPES

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

LISELI WHITLY JAMES (NPI 1801317235) is an individual family medicine provider in Martinsburg, West Virginia, licensed in West Virginia (30570) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1801317235
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISELI WHITLY JAMES
Location Address120 CAMPUS DRMartinsburg, WV 25404-7552
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2896 · (540) 536-5100 · Fax (540) 536-0235
Phone(681) 247-1250
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 2018
Enumeration DateJuly 6, 2017
Last NPPES UpdateSeptember 9, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
✔ NPI 1801317235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 30570
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.
120 CAMPUS DR, Martinsburg, WV 25404
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Secondary Practice Location 1

Location 12041 Georgia Ave NWWashington, DC 20059-0001 · Phone (202) 864-6100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Liseli Whitly James 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 ID8022362920
PECOS Enrollment IDI20211018002335
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 Liseli James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Mountain Health Physicians, Inc.
0.4 mi
Family Medicine
120 CAMPUS DRIVE, SUITE 211
Martinsburg, WV 25404
  • Reassigned Medicare billing, West Virginia enrollment
  • 135 clinicians in this Medicare group
NPI 1225678246 (681) 247-1260

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

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
336 services144 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
63 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25404 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.

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.

CIERA PECK NP
Nurse Practitioner (Family)
120 CAMPUS DR
MARTINSBURG, WV 25404
Berkeley County (681) 247-1250
JENNIFER MORAN
Nurse Practitioner (Family)
120 CAMPUS DR, SUITE 100
MARTINSBURG, WV 25404
Berkeley County (681) 247-1250

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 Liseli James's NPI number?

The NPI number for Liseli James is 1801317235. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Liseli James located?

Liseli James practices at 120 Campus Dr, Martinsburg, WV 25404. The listed phone number is (681) 247-1250.

What is Liseli James's specialty?

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

Is Liseli James enrolled in Medicare?

Yes. Liseli James 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.

Which organization bills Medicare for Liseli James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Liseli James reassigns Medicare benefits to East Mountain Health Physicians, Inc. (Martinsburg, WV). 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 Liseli James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Liseli James accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Liseli James 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 Liseli James affiliated with any hospitals?

According to CMS data, Liseli James is affiliated with Winchester Medical Center and Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Liseli James was last updated on September 9, 2021. 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.