Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica M Lisk, AG-ACNP

Individual provider Cardiovascular Disease Physician · NPI 1144008046

Jessica M Lisk, AG-ACNP is a Nurse Practitioner in Charlottesville, Virginia. Qualified in 2023, 3 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

1204 W Main St
Charlottesville, VA 22903-2824
Phone: (434) 924-9119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 243-1000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024188126 (VA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 0024188126 (VA)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence 0024188126 (VA)

Record details

NPI number1144008046
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Of Virginia Physicians Group — 1667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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