Individual provider Active NPI

Lindsey R Laconis, NPC

  • Family Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1265747505
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.11635-NP Issued in OH
Practice address
2500 W Strub Rd Ste 120a
Sandusky, OH 44870-5390
Phone
(419) 502-3524
Fax
(419) 502-3521
NPI assigned
Aug 11, 2010
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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 COA.11635-NP OH Primary

Addresses

Primary practice location

2500 W Strub Rd Ste 120a
Sandusky, OH 44870-5390

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112

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
I20100924001137 OH Practitioner - Nurse Practitioner 4284750407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Toledo Medical College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, shared by 44 NPIs, 252 clinicians

Practice addresses (Care Compare)

1479 N River Rd
Fremont, OH 43420-9760
Phone (419) 355-9440

2500 W Strub Rd
Suite 120
Sandusky, OH 44870-5390
Phone (419) 502-5932

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.11635-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC CurrentSince Sep 1, 2010 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Nov 7, 2015 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Sep 1, 2010 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

112 Independence Way
Ste 110
Clyde, OH 43410
Phone (419) 483-9000

1479 N River Rd
Fremont, OH 43420
Phone (419) 355-9440

808 Main St
Huron, OH 44839
Phone (419) 433-6117

2500 W Strub Rd
Sandusky, OH 44870
Phone (419) 502-3534

2500 W Strub Rd
Ste 120
Sandusky, OH 44870
Phone (419) 502-5932

2500 W Strub Rd
Ste 120A
Sandusky, OH 44870
Phone (419) 502-2273

2500 W Strub Rd
Ste 230
Sandusky, OH 44870
Phone (419) 625-1200

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: llaconis21008@nomshealthcare.direct-ci.com

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": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1265747505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD STE 120A",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705390",
            "telephone_number": "419-502-3524",
            "fax_number": "419-502-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACONIS",
        "first_name": "LINDSEY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "NPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.11635-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.