Individual provider Active NPI

Lisa Elaine Vires, CNP

  • Family Nurse Practitioner
  • Chillicothe, OH
National Provider Identifier
1013359637
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14626 Issued in OH
Practice address
4457 State Route 159
Chillicothe, OH 45601-8620
Phone
(740) 779-7813
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14626 OH Primary

Addresses

Primary practice location

4457 State Route 159
Chillicothe, OH 45601-8620

Mailing address

4457 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 779-7813

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130828000118 OH Practitioner - Nurse Practitioner 8325281090 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14626OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince Jul 29, 2013 Accepting new patients
Columbus Radiology Corp Past Accepting new patients

Locations

4457 State Route 159
Chillicothe, OH 45601
Phone (740) 775-7771

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

166 Summit Ave
Circleville, OH 43113
Phone (740) 420-3151

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

920 Veterans Dr
Unit E
Jackson, OH 45640

1000 Veterans Dr
Jackson, OH 45640
Phone (740) 395-8050

3930 US Highway 23 Anx
Piketon, OH 45661
Phone (740) 779-7813

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1450 Columbus Ave
Ste 203
Wshngtn Ct Hs, OH 43160
Phone (740) 335-8608

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1013359637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-779-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4457 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-779-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRES",
        "first_name": "LISA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "14626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4457 State Route 159",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456018620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.