Active NPI
Lisa Marie Mahone, NP
- Family Nurse Practitioner
- Lorain, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.025310
- Practice address
- 3600 Kolbe Rd Ste 106
Lorain, OH 44053-1652 - Phone
- (440) 960-3954
- Fax
- (440) 960-3956
- NPI assigned
- Jun 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.025310 | OH | Primary |
Addresses
Primary practice location
3600 Kolbe Rd Ste 106
Lorain, OH 44053-1652
Mailing address
3600 Kolbe Rd Ste 106
Lorain, OH 44053-1652
Phone (440) 960-3954
Other names 1
- Ms. Lisa Marie Hennes
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1956 E 79TH St
Cleveland, OH 44103-4270
Phone (440) 554-7025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.025310 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Mercy Health-Allen Hospital LLC | Current | Accepting new patients | |
| Cuc Health LLC | Current | Accepting new patients | |
| Cleveland Urgent Care LLC | Current | Accepting new patients | |
| Community Hospitalist, LLC | Family | Current | Accepting new patients |
| Mercy Health-Allen Hospital LLC | Current | Accepting new patients | |
| Mercy Health-Allen Hospital LLC | Current | Accepting new patients |
Locations
3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800
1956 E 79th St
Cleveland, OH 44103
Phone (216) 431-3733
12940 Lorain Ave
Cleveland, OH 44111
Phone (216) 251-2559
11100 Euclid Ave
Cleveland Heights, OH 44106
401 Cleveland St
Elyria, OH 44035
Phone (440) 309-3823
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
26901 Brookpark Road Ext
North Olmsted, OH 44070
Phone (440) 471-7044
840 Patriot Dr
Wellington, OH 44090
Phone (440) 647-2225
Interoperability endpoints
- lisa.mahone.1@26582.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Cleveland, OH
- NPI 1528619921
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
dba Mercy Health Lagrange Primary Care
- Rural Health Clinic/Center
- Lagrange, OH
- NPI 1306070594
-
dba MH-Wellington Primary Care
- Rural Health Clinic/Center
- Wellington, OH
- NPI 1780818963
-
dba Mercy Health Allen Hospital
- Critical Access Hospital
- Oberlin, OH
- NPI 1801825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1427610492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 KOLBE RD STE 106",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531652",
"telephone_number": "440-960-3954",
"fax_number": "440-960-3956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 KOLBE RD STE 106",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531652",
"telephone_number": "440-960-3954",
"fax_number": "440-960-3956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONE",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-30",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.025310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "HENNES",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.