Individual provider Active NPI

Lisa Wolffe, CNP

  • Nurse Practitioner
  • Jeffersonville, OH
National Provider Identifier
1790345981
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
024573 Issued in OH
Practice address
9 Janes St
Jeffersonville, OH 43128-1045
Phone
(740) 505-5321
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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 024573 OH Primary

Addresses

Primary practice location

9 Janes St
Jeffersonville, OH 43128-1045

Mailing address

9 Janes St
Jeffersonville, OH 43128-1045
Phone (740) 505-5321

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
I20200123001725 OH Practitioner - Nurse Practitioner 6406280023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4449 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 772-7909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024573OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scioto Paint Valley Mental Health Center CurrentSince Nov 14, 2019 Accepting new patients
Scioto Paint Valley Mental Health Center Current Accepting new patients

Locations

4449 State Route 159
Chillicothe, OH 45601
Phone (740) 772-7892

312 E 2nd St
Chillicothe, OH 45601
Phone (740) 772-7909

319 Logan St
Circleville, OH 43113
Phone (740) 474-8874

108 Erin Ct
Hillsboro, OH 45133
Phone (740) 772-7909

102 Dawn Ln
Waverly, OH 45690
Phone (740) 772-7909

1300 E Paint St
Wshngtn Ct Hs, OH 43160
Phone (740) 335-6935

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spvmhc/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1790345981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 JANES ST",
            "city": "JEFFERSONVILLE",
            "state": "OH",
            "postal_code": "431281045",
            "telephone_number": "740-505-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 JANES ST",
            "city": "JEFFERSONVILLE",
            "state": "OH",
            "postal_code": "431281045",
            "telephone_number": "740-505-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFFE",
        "first_name": "LISA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "024573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, OH

Sources for this page

Verify at the official NPI Registry.