Amy D Lower, C.N.P.
Individual provider Active NPI Nurse Practitioner · Willoughby, OH
NPI 1346958147 · NPPES record last updated Dec 5, 2023
Key facts
- NPI
- 1346958147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN.CNP.0034570 (OH)
- Practice address
- 5105 Som Center Rd
Willoughby, OH 44094-4203 - Phone
- (440) 255-5571
- NPI assigned
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lake Hospital System, Inc.
Practice addresses (Care Compare)
9500 Mentor Ave
Suite 100
Mentor, OH 44060-8702
Phone 44035274880
Hospital & facility affiliations
- Caretenders
- University Hospital Home Care Services, Inc
- Uhhs Memorial Hospital of Geneva
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231220001729 | OH | Practitioner - Nurse Practitioner | 5991155731 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.334200 | OH | MD | Critical Care Medicine Registered Nurse |
| APRN.CNP.0034570 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System Inc | Nurse Practitioner | Current |
Accepting new patients |
| Lake Hospital System, Inc | Current |
Accepting new patients |
Locations
9500 Mentor Ave
Ste 100
Mentor, OH 44060
Phone (440) 352-4880
9485 Mentor Ave
Ste 210
Mentor, OH 44060
Phone (440) 205-5835
10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656
Interoperability endpoints
- alower535245@ehrdirect.uhhospitals.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN.334200 | OH | |
| Nurse Practitioner | 363L00000X | APRN.CNP.0034570 | OH | Yes |
Addresses
Primary practice location
5105 Som Center Rd
Willoughby, OH 44094-4203
Mailing address
9485 Mentor Avenue
Suite 210
Mentor, OH 44060
Phone (440) 255-5571
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN.CNP.0034570 | Other | OH | NURSE PRACTITIONER |
Other providers in Willoughby, OH
- Deanna Lowe
- Hannah Lowe
- Kristen J Lowe
- Octaveya Lowe
- Teresa Irene Lowe
- Erin Lowthian
- Ryan Lucas
- Jessica Lydon
- M H Phillip Chiang MD Inc
- Yi Ma
All providers in Willoughby, OH · Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.