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LISA MICKLEY MD
NPI 1831777291
Pediatrics in Chesapeake, VA

Active since March 29, 2021PECOS Enrolled
725 VOLVO PKWY STE 102, CHESAPEAKE, VA 23320(757) 842-4110 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2024, Mar 29, 2021 (2 updates tracked since 2021).

About Lisa Mickley Md NPPES

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

LISA MICKLEY MD (NPI 1831777291) is an individual pediatrics provider in Chesapeake, Virginia, licensed in Virginia (0101282278) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831777291
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLISA MICKLEYCredential: MD
Location Address725 VOLVO PKWY STE 102Chesapeake, VA 23320-1621
Mailing AddressPo Box 7068Portsmouth, VA 23707-0068 · (757) 686-3500
Phone(757) 842-4110
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1831777291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101282278
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
725 VOLVO PKWY STE 102, Chesapeake, VA 23320
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Mickley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Lisa Mickley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bayview Physician Services, PC
12 mi
Family Medicine
3241 WESTERN BRANCH BLVD
Chesapeake, VA 23321
  • Reassigned Medicare billing, Virginia enrollment
  • 570 clinicians in this Medicare group
NPI 1508813387 (757) 686-3508

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 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

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

VICKIE LEE DOSCHER FNP
Nurse Practitioner (Family)
725 VOLVO PKWY STE 102
CHESAPEAKE, VA 23320
Chesapeake City (757) 609-3380

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 Mickley's NPI number?

The NPI number for Lisa Mickley is 1831777291. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Lisa Mickley located?

Lisa Mickley practices at 725 Volvo Pkwy Ste 102, Chesapeake, VA 23320. The listed phone number is (757) 842-4110.

What is Lisa Mickley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lisa Mickley enrolled in Medicare?

Yes. Lisa Mickley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Mickley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mickley reassigns Medicare benefits to Bayview Physician Services, PC (Chesapeake, VA). 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 Lisa Mickley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Mickley was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.