Individual provider Active NPI

Lynsie Acacia Bane, M.D.

  • Family Medicine Physician
  • Canal Winchester, OH
National Provider Identifier
1699139436
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.134159 Issued in OH
Practice address
7901 Diley Rd Ste 200
Canal Winchester, OH 43110-9612
Phone
(614) 835-3838
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.134159 OH Primary

Addresses

Primary practice location

7901 Diley Rd Ste 200
Canal Winchester, OH 43110-9612

Mailing address

7901 Diley Rd Ste 200
Canal Winchester, OH 43110-9612
Phone (614) 835-3838

Other practice location 1

2261 Philadelphia Dr
Dayton, OH 45406-1814
Phone (937) 734-4141

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lbane84794@direct.trinity-health.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007002796 OH Practitioner - Family Practice 2062704042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

7901 Diley Rd
Suite 200
Canal Winchester, OH 43110-9612
Phone (614) 627-1668

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc Family Medicine CurrentSince Aug 19, 2019 Accepting new patients
Mount Carmel Health Providers Inc Family Medicine CurrentSince Aug 19, 2019 Accepting new patients

Locations

7901 Diley Rd
Ste 200
Canal Winchester, OH 43110
Phone (614) 627-1668

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

Interoperability endpoints

  • Direct secure messaging: lbane84794@direct.trinity-health.org

Organizations & group practices 2

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 3

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1699139436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD STE 200",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109612",
            "telephone_number": "614-835-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD STE 200",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109612",
            "telephone_number": "614-835-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2261 Philadelphia Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454061814",
            "country_code": "US",
            "telephone_number": "937-734-4141",
            "fax_number": "937-277-7249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANE",
        "first_name": "LYNSIE",
        "middle_name": "ACACIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.134159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbane84794@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "7901 Diley Rd Ste 200",
            "city": "Canal Winchester",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431109612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.