Individual provider Active NPI

Amanda Lollini, R.N., FNP - C

  • Family Nurse Practitioner
  • Marysville, OH
National Provider Identifier
1073992863
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17376-NP Issued in OH
Practice address
17853 State Route 31
Marysville, OH 43040-8520
Phone
(937) 578-4004
Fax
(937) 578-4024
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN. 362197 OH
Family Nurse Practitioner 363LF0000X COA.17376-NP OH Primary

Addresses

Primary practice location

17853 State Route 31
Marysville, OH 43040-8520

Mailing address

17853 State Route 31
Marysville, OH 43040-8520
Phone (937) 578-4004

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
I20150630002310 OH Practitioner - Nurse Practitioner 6406168681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union County Physician CorporationGroup PAC ID 1557419173, 105 clinicians

Practice addresses (Care Compare)

17853 State Route 31
Suite B
Marysville, OH 43040-8835
Phone (937) 578-4004

Hospital & facility affiliations

  • Memorial Hospital Hospital, Marysville, OH, CCN 360092
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
68.93
Promoting interoperability
100
Improvement activities
40
Cost
75.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN. 362197OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Physician Corporation CurrentSince Jul 29, 2019 Accepting new patients
Union County Physician Corporation CurrentSince Jul 29, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

17853 State Route 31
Ste B
Marysville, OH 43040
Phone (937) 578-4004

17853 State Route 31
Ste A
Marysville, OH 43040

17853 State Route 31
Marysville, OH 43040
Phone (937) 578-4200

Interoperability endpoints

  • Direct secure messaging: alollini41208@direct.osumc.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1073992863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17853 STATE ROUTE 31",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408520",
            "telephone_number": "937-578-4004",
            "fax_number": "937-578-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17853 STATE ROUTE 31",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408520",
            "telephone_number": "937-578-4004",
            "fax_number": "937-578-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLINI",
        "first_name": "AMANDA",
        "credential": "R.N., FNP - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN. 362197",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17376-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.