Individual provider Active NPI

Lisa Nicole Schauseil, FNP

  • Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
  • Mason, OH
National Provider Identifier
1346518222
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geropsychiatric Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0813X
License
2022092963 Issued in OH
Practice address
3615 Socialville Foster Rd Ste C
Mason, OH 45040-9054
Phone
(513) 204-1910
Fax
(513) 548-1556
NPI assigned
Dec 7, 2011
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12951NP OH
Family Nurse Practitioner 363LF0000X COA.12951-NP OH
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X 2022092963 OH Primary

Addresses

Primary practice location

3615 Socialville Foster Rd Ste C
Mason, OH 45040-9054

Mailing address

2749 Silver Fox Run
Hamilton, OH 45011-5390
Phone (513) 509-1042

Other practice location 1

2749 Silver Fox Run
Hamilton, OH 45011-5390
Phone (513) 737-1429

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa@leesidewellness.com Direct

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
I20120210000462 OH Practitioner - Nurse Practitioner 1052578507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lee Side Wellness Associates, LLCGroup PAC ID 4587934823, 12 clinicians

Practice addresses (Care Compare)

3615 Socialville Foster Rd
Suite C
Mason, OH 45040-9054
Phone 51320419104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12951NPOHMDFamily Nurse Practitioner
COA.12951-NPOHMDFamily Nurse Practitioner
2022092963OHMDGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Side Wellness Associates, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

3615 Socialville Foster Rd
Ste C
Mason, OH 45040
Phone (513) 204-1910

5412 Courseview Dr
Ste 215
Mason, OH 45040
Phone (513) 204-1910

Interoperability endpoints

  • Direct secure messaging: lisa@leesidewellness.com

Organizations & group practices 1

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1346518222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 SILVER FOX RUN",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450115390",
            "telephone_number": "513-509-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SOCIALVILLE FOSTER RD STE C",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409054",
            "telephone_number": "513-204-1910",
            "fax_number": "513-548-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2749 Silver Fox Run",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450115390",
            "country_code": "US",
            "telephone_number": "513-737-1429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAUSEIL",
        "first_name": "LISA",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "12951NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.12951-NP",
            "primary": false
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "OH",
            "license": "2022092963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa@leesidewellness.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3615 Socialville Foster Rd Ste C",
            "city": "Mason",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450409054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.