Active NPI
Lisa Peters, CNP
- Family Nurse Practitioner
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0028082
- Practice address
- 4126 N Holland Sylvania Rd Ste 220
Toledo, OH 43623-3537 - Phone
- (419) 517-7600
- NPI assigned
- Dec 7, 2020
- Last updated
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0028082 | OH | Primary |
Addresses
Primary practice location
4126 N Holland Sylvania Rd Ste 220
Toledo, OH 43623-3537
Mailing address
9444 Eviedale Rd
Sylvania, OH 43560-9285
Phone (419) 704-4004
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4126 N Holland Sylvania Rd
Suite 220
Toledo, OH 43623-3537
Phone (419) 473-9500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0028082 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians-North LLC | Current | Accepting new patients | |
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Mercy Health System Northern | Past | Accepting new patients |
Locations
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
4126 N Holland Sylvania Rd
Ste 220
Toledo, OH 43623
Phone (419) 517-7600
Interoperability endpoints
- lpeters80517@direct.bsmhealth.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
-
dba Mercy Health - Perrysburg Podiatry
- Customized Equipment (DME)
- Perrysburg, OH
- NPI 1992358766
-
- Pediatric Cardiology Physician
- Toledo, OH
- NPI 1992748743
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- Home Health Agency
- Perrysburg, OH
- NPI 1093836546
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1841896669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9444 EVIEDALE RD",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435609285",
"telephone_number": "419-704-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4126 N HOLLAND SYLVANIA RD STE 220",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233537",
"telephone_number": "419-517-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "LISA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0028082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.