Lisa Renee Rolfes, RN, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP021903 Issued in OH

Practice address

506 S Main St
Rockford, OH 45882-9228

Phone

(419) 363-3008

NPI assigned

Sep 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercer County Joint Township Community HospitalGroup PAC ID 8820081755, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.rolfes@454.chartlogic.direct-ci.com

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.

• Mercer County Joint Township Community Hospital

  • General Acute Care Hospital
  • Coldwater, OH
  • NPI 1497784144
  Medicare reassignment Care Compare group NPD
• Diagnostic Pathology, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Coldwater, OH
  • NPI 1366639197
  NPD
• Mercer County Joint Township Community Hospital

  • Durable Medical Equipment & Medical Supplies
  • Coldwater, OH
  • NPI 1609963198
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercer County Joint Township Community Hospital

  • General Acute Care Hospital
  • Coldwater, OH
  • NPI 1497784144
  Care Compare affiliation

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

{
    "created_epoch": "1505520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1851810212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S MAIN ST",
            "city": "ROCKFORD",
            "state": "OH",
            "postal_code": "458829228",
            "telephone_number": "419-733-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S MAIN ST",
            "city": "ROCKFORD",
            "state": "OH",
            "postal_code": "458829228",
            "telephone_number": "419-363-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLFES",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-16",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP021903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNP LICENSE",
            "identifier": "NP021903",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Otten
• Parkway Local Schools
• Rockford Al Opco LLC
• Rockford Healthcare Group, Inc.
• Rockford Opco LLC
• Jerry D Sell, M.D.
• Shane Hill Divine Opco LLC
• Shane Hill Divine Opco LLC
• Shane Hill Rehabilitation and Nursing Center LLC
• The Laurels of Rockford, Inc.

• Family Nurse Practitioner in Rockford, OH
• Providers in Rockford, 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 Nov 7, 2017; 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.