Individual provider Active NPI

Lisa Stokes, NP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1558636662
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.13187-NP Issued in OH
Practice address
4623 Wesley Ave
Suite P
Cincinnati, OH 45212-2246
Phone
(513) 841-0777
Fax
(513) 841-0877
NPI assigned
Mar 22, 2012
Last updated
Feb 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.13187-NP OH Primary
Family Nurse Practitioner 363LF0000X COA.13187-NP OH

Addresses

Primary practice location

4623 Wesley Ave
Suite P
Cincinnati, OH 45212-2246

Mailing address

PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600

Other identifiers 1

IdentifierTypeStateIssuer
0100738MedicaidOH

Other names 1

  • Lisa Ross 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
I20120405000319 OH Practitioner - Nurse Practitioner 1254592975 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

7010 Rowan Hill Dr
Cincinnati, OH 45227-3380
Phone (731) 394-1145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.13187-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Apr 7, 2014 Accepting new patients
Infinite Medical PC Nurse Practitioner CurrentSince Jul 5, 2025 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Apr 7, 2014 Accepting new patients
Medoptions of Ohio LLC Family CurrentSince Oct 1, 2016 Accepting new patients
Vpa PC Current Accepting new patients
Ultra Health LLC Nurse Practitioner CurrentSince Dec 10, 2025 Accepting new patients
Vpa PC Current Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

4435 Aicholtz Rd
Ste 400
Cincinnati, OH 45245
Phone (513) 326-3007

4623 Wesley Ave
Ste P
Cincinnati, OH 45212
Phone (513) 841-0777

1160 Dublin Rd
Ste 400
Columbus, OH 43215
Phone (502) 439-2617

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

50 W Broad St
Ste 1330
Columbus, OH 43215
Phone (630) 320-6871

3500 Massillon Rd
Ste 280
Green, OH 44685
Phone (330) 896-5651

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1558636662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6600",
            "fax_number": "248-324-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 WESLEY AVE",
            "address_2": "SUITE P",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122246",
            "telephone_number": "513-841-0777",
            "fax_number": "513-841-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.13187-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.13187-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100738",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ROSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.