Individual provider Active NPI

Alexis Ann Lautzenheiser

  • Nurse Practitioner
  • Lima, OH
National Provider Identifier
1689351132
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0034248 Issued in OH
Practice address
801 Medical Dr
Lima, OH 45804-4031
Phone
(419) 222-6622
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Registered Nurse 163WX0800X APRN.CNP.0034248 OH
Nurse Practitioner 363L00000X APRN.CNP.0034248 OH Primary

Addresses

Primary practice location

801 Medical Dr
Lima, OH 45804-4031

Mailing address

PO Box 378
Ottoville, OH 45876-0378
Phone (419) 890-8286

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
I20230714002755 OH Practitioner - Nurse Practitioner 7012377575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

801 Medical Dr
Suite a
Lima, OH 45804-4030
Phone (419) 222-6622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.77 of 100Reported as group
Quality
62.75
Promoting interoperability
92
Improvement activities
40
Cost
73.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0034248OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Institute of Ohio, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Orthopaedic Institute of Ohio, Inc CurrentSince Aug 1, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

801 Medical Dr
Lima, OH 45804
Phone (419) 227-0205

801 Medical Dr
Ste A
Lima, OH 45804
Phone 41922266223301

1275 E Greenville Rd
Saint Marys, OH 45885
Phone (419) 300-9790

Organizations & group practices 3

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 5

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1689351132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "OTTOVILLE",
            "state": "OH",
            "postal_code": "458760378",
            "telephone_number": "419-890-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEDICAL DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044031",
            "telephone_number": "419-222-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTZENHEISER",
        "first_name": "ALEXIS",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "OH",
            "license": "APRN.CNP.0034248",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0034248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.