Active NPI
Lisa Gaye Gill, CNP
- Family Nurse Practitioner
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-08068
- Practice address
- 2150 W Central Ave
Toledo, OH 43606-3834 - Phone
- (419) 291-8701
- Fax
- (419) 479-3298
- NPI assigned
- Jun 9, 2005
- Last updated
- Jul 19, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-08068 | OH | Primary |
| Family Nurse Practitioner | 363LF0000X | 4704178651 | MI |
Addresses
Primary practice location
2150 W Central Ave
Toledo, OH 43606-3834
Mailing address
100 Madison Ave
Toledo, OH 43604-1516
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP08068 | Other | OH | STATE OHIO NP |
| 2540843 | Medicaid | OH | |
| 1487658308 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lgill24376@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111
6869 S Occidental Rd
Tecumseh, MI 49286-9784
Phone (517) 423-4777
718 N Macomb St
Monroe, MI 48162-7815
Phone (419) 240-8835
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-08068 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Promedica Monroe Physicians | Current | Accepting new patients | |
| Promedica Central Corporation of Michigan | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Kathryn E. Boehm, MD, LLC | Past | Accepting new patients | |
| University of Toledo Physicians LLC | Past | Accepting new patients |
Locations
3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
6711 Airport Hwy
Holland, OH 43528
Phone (567) 585-0070
3156 Dustin Rd
Ste 203
Oregon, OH 43616
Phone (419) 698-1514
1601 Brigham Dr
Ste 150
Perrysburg, OH 43551
Phone (419) 872-7246
900 W South Boundary St
Bldg 9A
Perrysburg, OH 43551
Phone (419) 872-3010
1 Seagate
Ste 800
Toledo, OH 43604
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2150 W Central Ave
Toledo, OH 43606
Phone (419) 291-2200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Clinic/Center
- Toledo, OH
- NPI 1104052844
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oregon, OH
- NPI 1598765539
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1487658308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MADISON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063834",
"telephone_number": "419-291-8701",
"fax_number": "419-479-3298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "LISA",
"middle_name": "GAYE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP-08068",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704178651",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OHIO NP",
"identifier": "NP08068",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2540843",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487658308",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lgill24376@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.