Individual provider Active NPI

Lisa Scudder-Marker, APRN

  • Family Nurse Practitioner
  • Woodmere, OH
National Provider Identifier
1164450474
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.16903 Issued in OH
Practice address
28100 Chagrin Blvd
Woodmere, OH 44122-4522
Phone
(216) 831-1466
NPI assigned
Jun 28, 2006
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 048222-23-03 NH
Family Nurse Practitioner 363LF0000X APRN.CNP.16903 OH Primary

Addresses

Primary practice location

28100 Chagrin Blvd
Woodmere, OH 44122-4522

Mailing address

28100 Chagrin Blvd
Woodmere, OH 44122-4522
Phone (216) 831-1466

Other identifiers 2

IdentifierTypeStateIssuer
30341527MedicaidNH
0NP3290MedicaidVT

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
I20191024002607 OH Practitioner - Nurse Practitioner 5193753671 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.16903OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Ohio, LLC Nurse Practitioner CurrentSince Feb 7, 2024 Accepting new patients
Preferred Physician Services of Ohio LLC CurrentSince Mar 1, 2023 Accepting new patients
Curana Health of Ohio CurrentSince Nov 2, 2022 Accepting new patients
Ohio Living Palliative Care Greater Toledo LLC CurrentSince Nov 15, 2021 Accepting new patients

Locations

3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276

904 Issac Sts
Oregon, OH 43616
Phone (419) 691-2483

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

3366 Riverside Dr
Ste 103
Upper Arlington, OH 43221
Phone (617) 958-5697

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lscuddermarker@landmarkhealth-direct.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1164450474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28100 CHAGRIN BLVD",
            "city": "WOODMERE",
            "state": "OH",
            "postal_code": "441224522",
            "telephone_number": "216-831-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28100 CHAGRIN BLVD",
            "city": "WOODMERE",
            "state": "OH",
            "postal_code": "441224522",
            "telephone_number": "216-831-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUDDER-MARKER",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "048222-23-03",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.16903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30341527",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0NP3290",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, OH

Sources for this page

Verify at the official NPI Registry.