Lisa Marie Dials, CCNS
Individual provider Active NPI Critical Care Medicine Clinical Nurse Specialist · Amherst, OH
NPI 1609113133 · NPPES record last updated Feb 5, 2016
Key facts
- NPI
- 1609113133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Clinical Nurse Specialist 364SC0200X
- License
- COA.13374-NS (OH)
- Practice address
- 578 N Leavitt Rd
Amherst, OH 44001-1131 - Phone
- (440) 989-3801
- Fax
- (440) 988-1227
- NPI assigned
- Jan 3, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Usacs Integrated Acute Care Services of Ohio LLC
Practice addresses (Care Compare)
100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-1461
32918 Lake Rd
Avon Lake, OH 44012-1403
Phone (216) 374-6349
Hospital & facility affiliations
- Summa Health System
- Fisher-Titus Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130418000031 | OH | Practitioner - Certified Clinical Nurse Specialist (CNS) | 5092951004 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.13374-NS | OH | MD | Critical Care Medicine Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Ahuja Medical Center, Inc | Current | Accepting new patients | |
| Emh Regional Medical Center | Current |
Accepting new patients | |
| Venvisor Health Ohio LLC | Current |
Accepting new patients | |
| University Hospitals Ahuja Medical Center | Current |
Accepting new patients | |
| Usacs Integrated Acute Care Services of Ohio, LLC | Current |
Accepting new patients | |
| Emh Regional Medical Center | Current |
Accepting new patients | |
| Inpatient Medical Services, Inc. | Current |
Accepting new patients | |
| Alaa Alahmad LLC | Current |
Accepting new patients | |
| Community Hospitalist, LLC | Current |
Accepting new patients | |
| University Hospitals Ahuja Medical Center | Current |
Accepting new patients | |
| Emh Regional Medical Center | Current | Accepting new patients | |
| Hni Medical Services of Ohio, LLC | Current |
Accepting new patients | |
| University Hospitals Medical Group Inc | Current |
Accepting new patients | |
| Hni Emergency Services of Ohio, LLC | Current |
Accepting new patients | |
| Samaritan Regional Health System | Past |
Accepting new patients |
Locations
1025 Center St
Ashland, OH 44805
Phone (419) 207-2370
25501 Chagrin Blvd
Beachwood, OH 44122
Phone (216) 545-4800
4758 Ridge Rd
Cleveland, OH 44144
Phone (216) 333-8831
3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226
11100 Euclid Ave
Cleveland Heights, OH 44106
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
545 Metro Pl S
Ste 100
Dublin, OH 43017
Phone (614) 398-0558
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Clinical Nurse Specialist | 364SC0200X | COA.13374-NS | OH | Yes |
Addresses
Primary practice location
578 N Leavitt Rd
Amherst, OH 44001-1131
Mailing address
PO Box 636643
Cincinnati, OH 45263-6643
Phone (440) 988-1009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0082382 | Medicaid | OH | |
| 3025372 | Medicaid | OH |
Other providers in Amherst, OH
- Maria-Elena O Davis
- Tammy Davis
- Brittany Nicole Dell
- David A Delprincipe
- Kristine Dence
- Bethany Victoria Diaz
- Kristin Elizabeth Dickerhoff
- Gary Wayne Dinger
- Discount Drug Mart Inc
- Dr Mitchell Goozdich Inc
All providers in Amherst, OH · Critical Care Medicine Clinical Nurse Specialist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.