Individual provider Active NPI

Lisa A. Von Bargen

  • Gerontology Nurse Practitioner
  • Hilliard, OH
National Provider Identifier
1861929416
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
320472 Issued in OH
Practice address
3455 Mill Run Dr Ste 310
Hilliard, OH 43026-9082
Phone
(833) 358-2036
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 320472 OH Primary

Addresses

Primary practice location

3455 Mill Run Dr Ste 310
Hilliard, OH 43026-9082

Mailing address

5053 Wooster Rd
Cincinnati, OH 45226-2326
Phone (513) 751-2145

Other practice location 1

8000 5 Mile Rd
Cincinnati, OH 45230-2163
Phone (513) 751-2145

Other practice location 2

50 E Rivercenter Blvd Ste 434
Covington, KY 41011-1660
Phone (833) 358-2278

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
I20170823001932 OH Practitioner - Nurse Practitioner 6507138708 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of OhioGroup PAC ID 3375924301, 51 clinicians
Preferred Physician Services of Ohio LLCGroup PAC ID 7315328069, 66 clinicians

Practice addresses (Care Compare)

3239 Jefferson Ave
Suite 1
Cincinnati, OH 45220-2270
Phone 99799192769276

9200 Worthington Rd
Suite 300
Westerville, OH 43082-7240
Phone (337) 991-9276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
320472OHMDGerontology Nurse Practitioner
3013181KYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Living Palliative Care Greater Toledo LLC CurrentSince May 1, 2024 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Jun 22, 2021 Accepting new patients
Preferred Physician Services of Ohio LLC CurrentSince Dec 3, 2024 Accepting new patients
Curana Health of Ohio CurrentSince Jun 7, 2025 Accepting new patients
Summit Medical Group, PLLC PastSince Nov 16, 2018 Accepting new patients
Oncology/ Hematology Care, Inc. Past Accepting new patients

Locations

2250 Banning Rd
Cincinnati, OH 45239
Phone (513) 591-0400

3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276

L2540
Columbus, OH 43260

904 Issac Sts
Oregon, OH 43616
Phone (419) 691-2483

1730 S Reynolds Rd
Toledo, OH 43614
Phone (419) 701-9809

3366 Riverside Dr
Ste 103
Upper Arlington, OH 43221
Phone (617) 958-5697

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1861929416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 WOOSTER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452262326",
            "telephone_number": "513-751-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 MILL RUN DR STE 310",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269082",
            "telephone_number": "833-358-2036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 5 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452302163",
            "country_code": "US",
            "telephone_number": "513-751-2145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 E Rivercenter Blvd Ste 434",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410111660",
            "country_code": "US",
            "telephone_number": "833-358-2278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VON BARGEN",
        "first_name": "LISA",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "320472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.