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

Mrs. Lisa Marie Reynolds, AGPCNP

Individual provider Nurse Practitioner · NPI 1578373668

Mrs. Lisa Marie Reynolds, AGPCNP is a Nurse Practitioner in Newport News, Virginia. Qualified in 2024, 2 years ago. Practices with Riverside Physician Services Inc, a 793-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2025
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Practice location Address checks out

500 J Clyde Morris Blvd Ste 500
Newport News, VA 23601-1929
Phone: (757) 873-1374
Fax: (757) 873-1612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024192287 (VA)

Record details

NPI number1578373668
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedJanuary 10, 2025
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Riverside Physician Services Inc — 793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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