Individual provider Active NPI

Lori A Herpen, DPM

  • Podiatrist
  • Ashtabula, OH
National Provider Identifier
1225014996
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002795 Issued in OH
Practice address
3903 Lake Ave
Ashtabula, OH 44004-5833
Phone
(440) 992-4477
Fax
(440) 998-5452
NPI assigned
Dec 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002795 OH Primary

Addresses

Primary practice location

3903 Lake Ave
Ashtabula, OH 44004-5833

Mailing address

3903 Lake Ave
Ashtabula, OH 44004-5833
Phone (440) 992-4477

Other identifiers 1

IdentifierTypeStateIssuer
0903740MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000036 OH Practitioner - Podiatry 6507059029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8334 Mentor Ave
Suite 100
Mentor, OH 44060-5757
Phone (440) 357-8418

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue139
Removal of skin lesions25
Removal of nail tissue497
Removal or shaving of skin growth478
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002795OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Foot & Ankle Associates, LLC Podiatrist CurrentSince Nov 1, 2022 Accepting new patients
Lake County Foot & Ankle Associates, LLC Podiatrist CurrentSince Nov 1, 2022 Accepting new patients

Locations

3903 Lake Ave
Ashtabula, OH 44004
Phone (440) 992-4477

224 Parrish Rd
Conneaut, OH 44030
Phone (440) 593-7360

8334 Mentor Ave
Ste 100
Mentor, OH 44060
Phone 44035784188

Interoperability endpoints

  • Direct secure messaging: lherpendpm@ofas.medentdirect.com
  • Direct secure messaging: lherpen37838@ehrdirect.uhhospitals.org

Organizations & group practices 2

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1225014996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045833",
            "telephone_number": "440-992-4477",
            "fax_number": "440-998-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045833",
            "telephone_number": "440-992-4477",
            "fax_number": "440-998-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERPEN",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0903740",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

Verify at the official NPI Registry.