Lisa A Rhodes, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP - 11105 Issued in OH

Practice address

2912 Springboro Rd
Suite 201
Moraine, OH 45439-1674

Phone

(937) 297-8999

Fax

(937) 237-4776

NPI assigned

Nov 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Wright State University Boonshoft School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Medical Primary Care, IncGroup PAC ID 0840284345, 8 clinicians

Valley Medical LTC IncGroup PAC ID 8820505258, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bethany Village Home Health Care Home health agency, Dayton, OH, CCN 368343
• Grace Brethren Village Nursing home, Englewood, OH, CCN 366263

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Valley Medical LTC Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Centerville, OH
  • NPI 1306632708
  Medicare reassignment Care Compare group NPD
• Valley Medical Primary Care, Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Centerville, OH
  • NPI 1528127610
  Medicare reassignment Care Compare group NPD
• Grace Brethren Village Inc.

  • Skilled Nursing Facility
  • Englewood, OH
  • NPI 1033100698
  NPD (past)

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

• Grace Brethren Village Inc.

  • Skilled Nursing Facility
  • Englewood, OH
  • NPI 1033100698

  Nursing home

  Care Compare affiliation
• Health at Home, LLC

  • Home Health Agency
  • Dayton, OH
  • NPI 1265768956
  Care Compare affiliation

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1598092710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 STAFFORD RD",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453449580",
            "telephone_number": "937-272-3659",
            "fax_number": "937-237-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 SPRINGBORO RD",
            "address_2": "SUITE 201",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391674",
            "telephone_number": "937-297-8999",
            "fax_number": "937-237-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP - 11105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "421534506158",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-OH",
            "identifier": "000000637741",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3016846",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicki Reiner
• Virginia Ann Reinhard
• Morgan Rench
• Catherine Anne Renfrow, MSED, LPCC-S
• Mark Edward Reynolds, MD
• Sarah E Rhodes, MA, LPCC-S
• Brianna Danielle Rice
• Kirstyn Joanne Richards
• Olivia M Rickard
• David Riley, LPCC

• Family Nurse Practitioner in Moraine, OH
• Providers in Moraine, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.

Verify at the official NPI Registry.