Alice Lynn Risner, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.024427 Issued in OH

Practice address

136 W Center St
Marion, OH 43302-3704

Phone

(740) 751-6380

Fax

(740) 751-4866

NPI assigned

Apr 3, 2019

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

Other names 1

• Alice Lynn Pfoff Former name

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maple Leaf Family and Sports Medicine, LLCGroup PAC ID 7416844592, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197
• Memorial Hospital Hospital, Marysville, OH, CCN 360092

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JAAAAA/Endpoint/JAAAAA
• FHIR API: https://fhir4.healow.com/fhir/r4/JAAAAA
• Direct secure messaging: alice.risner.p1@direct.centerstreetclinic.nextgenshare.com

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.

• Maple Leaf Family and Sports Medicine, LLC

  • Family Medicine Physician
  • Bellefontaine, OH
  • NPI 1447328067
  Medicare reassignment Care Compare group NPD
• Center Street Community Clinic Inc

  dba Center Street Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Marion, OH
  • NPI 1780984211
  Medicare reassignment NPD
• Center Street Community Clinic, Inc

  • Multi-Specialty Clinic/Center
  • Marion, OH
  • NPI 1609657766
  NPD
• Center Street Community Clinic Inc

  dba Galion Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Galion, OH
  • NPI 1942840871
  NPD (past)
• Center Street Community Clinic, Inc

  dba Morrow Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Gilead, OH
  • NPI 1811303068
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

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

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

• Mary Rutan Hospital

  • General Acute Care Hospital
  • Bellefontaine, OH
  • NPI 1548254931
  Care Compare affiliation
• Memorial Hospital of Union County

  dba Memorial Hospital

  • General Acute Care Hospital
  • Marysville, OH
  • NPI 1720159338
  Care Compare affiliation

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1164984746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023704",
            "telephone_number": "740-751-6380",
            "fax_number": "740-751-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023704",
            "telephone_number": "740-751-6380",
            "fax_number": "740-751-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISNER",
        "first_name": "ALICE",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "PFOFF",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenna L Ridgeway
• Filmore Alteros Riego, MD
• Yasoda Rijal
• Michael Ring, LPC
• Daniella Rios Gil, CT
• Seth Risner
• Anita Ritchey, PC
• Mallory Ritchie
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 00256)
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 00277)

• Family Nurse Practitioner in Marion, OH
• Providers in Marion, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.