Lisa D Ross, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP015813 Issued in PA

Practice address

372 W Lancaster Ave
Wayne, PA 19087-3924

Phone

(610) 688-8807

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.ross@rfpw.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CFADBA/Endpoint/CFADBA

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.

• Radnor Family Practice Professional Limited Liability Company

  dba IM Health

  • Family Medicine Physician
  • Wayne, PA
  • NPI 1750407144
  Medicare reassignment NPD
• Radnor Family Practice, PLLC, Dba Im Health

  dba IM Health Urgent Care

  • Urgent Care Clinic/Center
  • Wayne, PA
  • NPI 1730848417
  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1023133907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 W LANCASTER AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873924",
            "telephone_number": "610-688-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 W LANCASTER AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873924",
            "telephone_number": "610-688-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP015813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Aimee Rosen-Pries, MD
• Janie Kowarsky Rosen, LCSW
• Eric Rosenfield, PT
• Rosner Concierge Medicine
• Andrew Douglas Rosner, M.D.
• Roth & Russin LLC (Main Line Eye Specialists)
• Roth and Russin LLC (Main Line Eye Specialists)
• Andrea Rothbart, PHARMD
• Scott Bruce Rothman, D.C.
• Stephanie E Roundy, PT, DPT

• Adult Health Nurse Practitioner in Wayne, PA
• Providers in Wayne, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.