Individual provider Active NPI

Lisa M Young, CNP

  • Acute Care Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1720275092
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.0029698 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(419) 207-2351
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0029698 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

350 Hillcrest Dr Ste 3
Ashland, OH 44805-4052
Phone (419) 207-2351

Other practice location 1

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Other identifiers 1

IdentifierTypeStateIssuer
2469574MedicaidOH

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address lisayoung@uhps.allscriptsdirect.net
Direct Messaging Address lisayoung@uhps.allscriptsdirect.net
Direct Messaging Address lisayoung@uhps.allscriptsdirect.net
Direct Messaging Address lisayoung@uhps.allscriptsdirect.net
Direct Messaging Address lisayoung@uhps.allscriptsdirect.net 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071015000149 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 4385730886 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1025 Ctr St
Ashland, OH 44805-4011
Phone (419) 289-9800

1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (330) 489-1145

158 W Main Rd
Conneaut, OH 44030-2039

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029698OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Jun 15, 2020 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 17, 2009 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
University Primary Care Practices Inc CurrentSince Jun 15, 2020 Accepting new patients
Wooster Clinic, LLC CurrentSince Apr 2, 2014 Accepting new patients
University Primary Care Practices Past Accepting new patients
Medcentral Professional Association Inc. Past Accepting new patients

Locations

350 Hillcrest Dr
Ste 3
Ashland, OH 44805
Phone (419) 207-2351

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

6000 W Creek Rd
Ste 10
Independence, OH 44131
Phone (216) 986-1256

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: lyoung28016@ehrdirect.uhhospitals.org
  • Direct secure messaging: lyoungcns4570@direct.ccf.org

Organizations & group practices 8

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 2

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1720275092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HILLCREST DR STE 3",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054052",
            "telephone_number": "419-207-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "419-207-2351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0029698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2469574",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisayoung@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "350 Hillcrest Dr Ste 3",
            "city": "Ashland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448054052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisayoung@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "350 Hillcrest Dr Ste 3",
            "city": "Ashland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448054052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisayoung@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "350 Hillcrest Dr Ste 3",
            "city": "Ashland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448054052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisayoung@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "350 Hillcrest Dr Ste 3",
            "city": "Ashland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448054052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisayoung@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "350 Hillcrest Dr Ste 3",
            "city": "Ashland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448054052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.