Individual provider Active NPI

Lacie A Emerine, APRN-CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1487151833
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023300 Issued in OH
Practice address
2121 Kenny Rd FL 5
Columbus, OH 43210-3100
Phone
(614) 685-4263
Fax
(614) 685-4768
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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.023300 OH Primary

Addresses

Primary practice location

2121 Kenny Rd FL 5
Columbus, OH 43210-3100

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 685-4263

Other practice location 1

1980 Tamarack Rd
Newark, OH 43055-1363
Phone (220) 564-7520

Other identifiers 1

IdentifierTypeStateIssuer
F07181293OtherOHAANP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lemerine25268@lickingmemorial.medicity.net

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
I20190116002243 OH Practitioner - Nurse Practitioner 5890031512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osu Urology, LLCGroup PAC ID 3476565946, 37 clinicians

Practice addresses (Care Compare)

2121 Kenny Rd
Suite 5a
Columbus, OH 43210-3100
Phone (614) 685-4263

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.32 of 100Reported as apm
Quality
71.78
Promoting interoperability
98.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Urology, LLC CurrentSince Sep 1, 2024 Accepting new patients
Arthur G James Cancer Hospital and Research Institute PastSince Sep 1, 2024 Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

300 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3276

2121 Kenny Rd
Ste 5A
Columbus, OH 43210
Phone (614) 685-4263

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

Interoperability endpoints

  • Direct secure messaging: lemerine1251661@direct.osumc.edu

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1487151833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-685-4263",
            "fax_number": "614-685-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 KENNY RD FL 5",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432103100",
            "telephone_number": "614-685-4263",
            "fax_number": "614-685-4768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1980 Tamarack Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430551363",
            "country_code": "US",
            "telephone_number": "220-564-7520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERINE",
        "first_name": "LACIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F07181293",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lemerine25268@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "1980 Tamarack Rd",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.