Lisa D Kisaberth, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.18182-NP Issued in OH

Practice address

4340 Leavitt Rd Ste D
Lorain, OH 44053-2386

Phone

(440) 444-0497

Fax

(440) 444-1352

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Delanys HealthcareGroup PAC ID 9830519503, 2 clinicians

Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Delany'S Healthcare

  • Primary Care Clinic/Center
  • Mansfield, OH
  • NPI 1497373864
  Medicare reassignment Care Compare group NPD
• Incare Health Solutions LLC

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1235422403
  Medicare reassignment Care Compare group NPD
• Incare Health Solutions, LLC

  • Primary Care Nurse Practitioner
  • Ontario, OH
  • NPI 1639621824

  Family

  NPD

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1831569078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EDGEFIELD BLVD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025801",
            "telephone_number": "740-914-4178",
            "fax_number": "740-386-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 LEAVITT RD STE D",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532386",
            "telephone_number": "440-444-0497",
            "fax_number": "440-444-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISABERTH",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18182-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen King
• Monique King
• Stephanie Lynn Kingsboro, LPN
• Karen C Kirby, D.D.S.
• Phoebe C Kirk
• Beth A Kiser, DC
• Ethan L Kiser, E.2606146
• Halle Kish, LPC
• Raylene J Kitts
• Anna Renea Kizina, RN

• Family Nurse Practitioner in Lorain, OH
• Providers in Lorain, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.