Individual provider Active NPI

Lisa Arehart, APRN

  • Nurse Practitioner
  • Crittenden, KY
National Provider Identifier
1730116823
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3002712 Issued in KY
Practice address
405 Violet Rd
Crittenden, KY 41030-8956
Phone
(859) 428-1610
Fax
(859) 428-3923
NPI assigned
Jun 26, 2006
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3002712 KY Primary

Addresses

Primary practice location

405 Violet Rd
Crittenden, KY 41030-8956

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 428-1610

Other practice location 1

5032 Loch Dr
Union, KY 41091-1485
Phone (859) 840-3627

Other identifiers 6

IdentifierTypeStateIssuer
P00922877OtherKYRAIL ROAD MEDICARE
201127120MedicaidIN
78003381MedicaidKY
500025962OtherRAILROAD MEDICARE
000000323896OtherANTHEM
2466362MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20090210000006 KY Practitioner - Nurse Practitioner 6406805969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians
Tristate Banp, LLCGroup PAC ID 2163758368, 2 clinicians

Practice addresses (Care Compare)

135 Courthouse Xing
Independence, KY 41051-2509
Phone (859) 356-6800

300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400

405 Violet Rd
Crittenden, KY 41030-8956
Phone (859) 301-5901

5032 Loch Dr
Union, KY 41091-1485
Phone (859) 640-3627

PO Box
Suite 635283
Cincinnati, OH 45263-5283

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3002712KYMDNurse Practitioner
2712PKYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc Nurse Practitioner CurrentSince Apr 1, 2011 Accepting new patients
Take Care Health Kentucky, P.S.C. Past Accepting new patients
Elderserve, Inc. Past Accepting new patients

Locations

2900 Chancellor Dr
Crestview Hills, KY 41017
Phone (859) 341-0288

405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610

520 Violet Rd
Crittenden, KY 41030
Phone (606) 428-1114

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Interoperability endpoints

  • Direct secure messaging: larehart106268@direct-prd.stelizabeth.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Elizabeth PhysiciansRising Sun, IN, CCN 153958 Rural health clinic Corporate Director Jan 1, 2019
St. Elizabeth PhysiciansMilan, IN, CCN 153956 Rural health clinic Corporate Director Jan 1, 2019
St. Elizabeth PhysiciansVevay, IN, CCN 153959 Rural health clinic Corporate Director Jan 1, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1730116823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-428-1610",
            "fax_number": "859-428-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 VIOLET RD",
            "city": "CRITTENDEN",
            "state": "KY",
            "postal_code": "410308956",
            "telephone_number": "859-428-1610",
            "fax_number": "859-428-3923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5032 Loch Dr",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "KY",
            "postal_code": "410911485",
            "country_code": "US",
            "telephone_number": "859-840-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AREHART",
        "first_name": "LISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3002712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00922877",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201127120",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78003381",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500025962",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000323896",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2466362",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crittenden, KY

Sources for this page

Verify at the official NPI Registry.