Individual provider Active NPI

Lance Neeley

  • Family Nurse Practitioner
  • Jackson Center, OH
National Provider Identifier
1548799562
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021905 Issued in OH
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

Updated by the provider on Feb 20, 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.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

IdentifierTypeStateIssuer
0252621MedicaidOH

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
I20171205001638 OH Practitioner - Nurse Practitioner 6204193956 Reassigns benefits to 3 organizations

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
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

967 Bellefontaine Ave
Lima, OH 45804-2888
Phone (419) 996-5895

Hospital & facility affiliations

  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Wilson Urgent Care CurrentSince May 2, 2023 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Sep 4, 2018 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Sep 4, 2018 Accepting new patients
Wilson Care, LLC CurrentSince May 2, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.