Active NPI
Lance Neeley
- Family Nurse Practitioner
- Jackson Center, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.021905
- Practice address
- 1001 W Pike St
Jackson Center, OH 45334-6066 - Phone
- (937) 421-4081
- NPI assigned
- Jun 5, 2017
- Sex
- Male
- 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.021905 | OH | Primary |
Addresses
Primary practice location
1001 W Pike St
Jackson Center, OH 45334-6066
Mailing address
1134 N Main St
Bellefontaine, OH 43311-2815
Phone (937) 593-0245
Other practice location 1
17747 Golden Bridge Rd
Wapakoneta, OH 45895-9139
Phone (567) 204-8190
Other practice location 2
2195 Allentown Rd
Lima, OH 45805
Phone (419) 227-2245
Other practice location 3
915 Michigan St
Sidney, OH 45365-2401
Phone (937) 498-2311
Other practice location 4
1134 N Main St
Bellefontaine, OH 43311-2315
Phone (937) 651-6820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0252621 | Medicaid | OH |
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
967 Bellefontaine Ave
Lima, OH 45804-2888
Phone (419) 996-5895
Hospital & facility affiliations
- Mercy Health St Ritas Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| Wilson Urgent Care | Current | Accepting new patients | |
| Mercy Medical Partners Northern Region LLC | Current | Accepting new patients | |
| Mercy Medical Partners Northern Region LLC | Current | Accepting new patients | |
| Wilson Care, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Mary Rutan Hospital | Past | Accepting new patients |
Locations
1134 N Main St
Bellefontaine, OH 43311
Phone (937) 651-6783
205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015
1134 N Main St
Ste 1100
Bellefontaine, OH 43311
Phone (937) 651-6820
1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414
1800 E 5th St
Delphos, OH 45833
Phone (419) 692-2662
2195 Allentown Rd
Lima, OH 45805
Phone (419) 227-2245
770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330
915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311
823 Michigan St
Bldg A
Sidney, OH 45365
Phone (937) 498-5334
823 Michigan St
Bldg B
Sidney, OH 45365
Phone (937) 498-1335
915 Michigan St
Ste 200
Sidney, OH 45365
Phone (937) 498-4880
Interoperability endpoints
- https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4
- lneeley365315@direct.bsmhealth.org
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.
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- Multi-Specialty Clinic/Center
- Defiance, OH
- NPI 1669756532
-
- Family Medicine Physician
- Sidney, OH
- NPI 1205886926
-
- Durable Medical Equipment & Medical Supplies
- Napoleon, OH
- NPI 1710405808
-
- Urgent Care Clinic/Center
- Sidney, OH
- NPI 1568754653
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- West Liberty, OH
- NPI 1003875949
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1548799562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 N MAIN ST",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433112815",
"telephone_number": "937-593-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W PIKE ST",
"city": "JACKSON CENTER",
"state": "OH",
"postal_code": "453346066",
"telephone_number": "937-421-4081"
}
],
"practiceLocations": [
{
"address_1": "17747 Golden Bridge Rd",
"address_purpose": "LOCATION",
"city": "Wapakoneta",
"state": "OH",
"postal_code": "458959139",
"country_code": "US",
"telephone_number": "567-204-8190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2195 Allentown Rd",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "45805",
"country_code": "US",
"telephone_number": "419-227-2245",
"fax_number": "419-996-5896",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "915 Michigan St",
"address_purpose": "LOCATION",
"city": "Sidney",
"state": "OH",
"postal_code": "453652401",
"country_code": "US",
"telephone_number": "937-498-2311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1134 N Main St",
"address_purpose": "LOCATION",
"city": "Bellefontaine",
"state": "OH",
"postal_code": "433112315",
"country_code": "US",
"telephone_number": "937-651-6820",
"fax_number": "937-651-6821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEELEY",
"first_name": "LANCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-05",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.021905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0252621",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Center, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.