Individual provider Active NPI

Lori Lumm, CNP

  • Family Nurse Practitioner
  • East Liberty, OH
National Provider Identifier
1093176521
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.18895 Issued in OH
Practice address
13900 State Route 287
East Liberty, OH 43319-9466
Phone
(937) 651-6951
Fax
(937) 651-6953
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 APRN.CNP.18895 OH Primary

Addresses

Primary practice location

13900 State Route 287
East Liberty, OH 43319-9466

Mailing address

15 Lantern Chase Dr
Delaware, OH 43015-3325

Other identifiers 1

IdentifierTypeStateIssuer
0164229MedicaidOH

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
I20160531002592 OH Practitioner - Nurse Practitioner 3476843608 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
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

1134 N Main St
Suite 1100
Bellefontaine, OH 43311-2379
Phone (937) 651-6820

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.18895OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince Jul 17, 2023 Accepting new patients
Mary Rutan Hospital Current Accepting new patients
Mary Rutan Hospital CurrentSince Jul 17, 2023 Accepting new patients
Mary Rutan Hospital Past Accepting new patients

Locations

1134 N Main St
Ste 1100
Bellefontaine, OH 43311
Phone (937) 651-6820

1134 N Main St
Ste 1300
Bellefontaine, OH 43311
Phone (937) 592-5015

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

13900 State Route 287
East Liberty, OH 43319
Phone (937) 651-6951

1880 E US Highway 36
Urbana, OH 43078
Phone (937) 484-3500

500 N Westminster St
Waynesfield, OH 45896
Phone (419) 568-9100

Organizations & group practices 4

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 1

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1093176521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LANTERN CHASE DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430153325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 STATE ROUTE 287",
            "city": "EAST LIBERTY",
            "state": "OH",
            "postal_code": "433199466",
            "telephone_number": "937-651-6951",
            "fax_number": "937-651-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMM",
        "first_name": "LORI",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.18895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liberty, OH

Sources for this page

Verify at the official NPI Registry.