Individual provider Active NPI

Lisa Marie Mahone, NP

  • Family Nurse Practitioner
  • Lorain, OH
National Provider Identifier
1427610492
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025310 Issued in OH
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

Updated by the provider on Oct 16, 2019

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 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 Former name

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
I20191121001669 OH Practitioner - Nurse Practitioner 2163854621 Reassigns benefits to 4 organizations

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
Cleveland Urgent Care LLCGroup PAC ID 6608209812, 5 clinicians

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

LicenseStateTypeSpecialty
APRN.CNP.025310OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Oct 21, 2019 Accepting new patients
Cuc Health LLC CurrentSince Apr 6, 2022 Accepting new patients
Cleveland Urgent Care LLC CurrentSince Nov 1, 2020 Accepting new patients
Community Hospitalist, LLC Family CurrentSince Oct 1, 2020 Accepting new patients
Mercy Health-Allen Hospital LLC Current Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Oct 21, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.