Lisa Bainter, APRN-NPC
Individual provider Active NPI Family Nurse Practitioner · Toledo, OH
NPI 1003301516 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1003301516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 14273317 (OH)
- Practice address
- 2109 Hughes Dr Ste 760
Toledo, OH 43606-5111 - Phone
- (419) 291-7555
- Fax
- (419) 479-2696
- NPI assigned
- Jun 27, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Promedica Multi Specialty Physicians
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111
Hospital & facility affiliations
- Promedica Toledo Hospital
- Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181017003642 | OH | Practitioner - Nurse Practitioner | 5597017640 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14273317 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Multi Specialty Physicians | Current |
Accepting new patients |
Locations
5700 Monroe St
Unit 308
Sylvania, OH 43560
Phone (419) 291-7555
2109 Hughes Dr
Ste 760
Toledo, OH 43606
Phone (419) 291-7555
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14273317 | OH | Yes |
Addresses
Primary practice location
2109 Hughes Dr Ste 760
Toledo, OH 43606-5111
Mailing address
2109 Hughes Dr Ste 760
Toledo, OH 43606-5111
Phone (419) 291-7555
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbainter49181@epicdirect.promedica.org |
Other providers in Toledo, OH
- Yonette Bernadette Bailey
- Zyishia Bailey
- Baileys Loving Hands LLC
- Nancy Ellen Bain
- Mariah Bainbridge
- Jeffrey Bair
- Ellen Baird
- Kathleen Frances Baird
- Sanjiv Bais
- April Baisden
All providers in Toledo, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.