Individual provider Active NPI

Lisa Marie Miller, NP

  • Family Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1780269399
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027808 Issued in OH
Practice address
420 Superior St
Sandusky, OH 44870-1849
Phone
(419) 626-5623
NPI assigned
Mar 15, 2021
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027808 OH Primary

Addresses

Primary practice location

420 Superior St
Sandusky, OH 44870-1849

Mailing address

420 Superior St
Sandusky, OH 44870-1849
Phone (419) 626-5623

Other practice location 1

316 Mason Rd W
Milan, OH 44846-9500
Phone (567) 867-5174

Other practice location 2

221 W Parish St
Sandusky, OH 44870-4877
Phone (567) 867-5174

Other practice location 3

34 Executive Dr Ste A
Norwalk, OH 44857-2490
Phone (567) 867-5174

Other practice location 4

333 Buckeye Blvd Ste B
Port Clinton, OH 43452-2475
Phone (567) 867-5174

Other practice location 5

1250 Sanford St
Vermilion, OH 44089-1577
Phone (567) 867-5174

Other practice location 6

501 Superior St
Sandusky, OH 44870-4487
Phone (567) 304-3900

Other practice location 7

420 Superior St # D
Sandusky, OH 44870-1849
Phone (419) 624-3353

Other practice location 8

117 Addison St
Kelleys Island, OH 43438-4343
Phone (567) 867-5174

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
I20210512001660 OH Order and Referring Only - Nurse Practitioner 7911316583

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erie County Office of Auditor PastSince Sep 23, 2024 Accepting new patients
Erie County Office of Auditor PastSince Jun 9, 2024 Accepting new patients
Erie County Office of Auditor Past Accepting new patients
Erie County Office of Auditor Past Accepting new patients
Erie County Office of Auditor Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lisa.millernp.p1@direct.ecchc.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1780269399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SUPERIOR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448701849",
            "telephone_number": "419-626-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SUPERIOR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448701849",
            "telephone_number": "419-626-5623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Mason Rd W",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "OH",
            "postal_code": "448469500",
            "country_code": "US",
            "telephone_number": "567-867-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 W Parish St",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448704877",
            "country_code": "US",
            "telephone_number": "567-867-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Executive Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "OH",
            "postal_code": "448572490",
            "country_code": "US",
            "telephone_number": "567-867-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Buckeye Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Port Clinton",
            "state": "OH",
            "postal_code": "434522475",
            "country_code": "US",
            "telephone_number": "567-867-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Sanford St",
            "address_purpose": "LOCATION",
            "city": "Vermilion",
            "state": "OH",
            "postal_code": "440891577",
            "country_code": "US",
            "telephone_number": "567-867-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Superior St",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448704487",
            "country_code": "US",
            "telephone_number": "567-304-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Superior St # D",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448701849",
            "country_code": "US",
            "telephone_number": "419-624-3353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Addison St",
            "address_purpose": "LOCATION",
            "city": "Kelleys Island",
            "state": "OH",
            "postal_code": "434384343",
            "country_code": "US",
            "telephone_number": "567-867-5174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.