Jessica M Lisk, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Charlottesville, Virginia. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Virginia Physicians Group and her current practice location is
1204 W Main St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 924-9119.
Jessica M Lisk is licensed to practice in Virginia (license number 0024188126) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144008046.
Physician's Profile
| Full Name | Jessica M Lisk |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 1204 W Main St, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessica M Lisk graduated from medical school in 2023
NPI Data:
- NPI Number: 1144008046
- Provider Enumeration Date: 09/20/2023
- Last Update Date: 06/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527414879
- Enrollment ID: I20231024001057
Medical Identifiers
Medical identifiers for Jessica M Lisk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144008046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | 0024188126 (Virginia) | Secondary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | 0024188126 (Virginia) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 0024188126 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Virginia Physicians Group | 4880590728 | 1547 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica M Lisk allows following entities to bill medicare on her behalf.
| Entity Name | University Of Virginia Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica M Lisk is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jessica M Lisk, AG-ACNP
Po Box 749112,
Atlanta, GA 30374-9112
Ph: (434) 295-1000 | Jessica M Lisk, AG-ACNP
1204 W Main St,
Charlottesville, VA 22903-2824
Ph: (434) 924-9119 |
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