Individual provider Active NPI

Lisa Marie Kuchta, CNP

  • Adult Health Nurse Practitioner
  • Elyria, OH
National Provider Identifier
1871004309
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRNCNP021848 Issued in OH
Practice address
1170 E Broad St Ste 102
Elyria, OH 44035-6351
Phone
(440) 323-3574
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRNCNP021848 OH Primary

Addresses

Primary practice location

1170 E Broad St Ste 102
Elyria, OH 44035-6351

Mailing address

1170 E Broad St Ste 102
Elyria, OH 44035-6351
Phone (440) 371-9824

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
I20171107002719 OH Practitioner - Nurse Practitioner 3678839651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Nephrology IncGroup PAC ID 6002704913, 6 clinicians

Practice addresses (Care Compare)

1170 E Broad St
Suite 102
Elyria, OH 44035-6351
Phone (440) 323-3574

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

Merit-based Incentive Payment System (MIPS)

Final score
95.88 of 100Reported as group
Quality
97.66
Improvement activities
40
Cost
72.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRNCNP021848OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Nephrology, Inc CurrentSince Nov 27, 2017 Accepting new patients
Americare Kidney Institute LLC PastSince Nov 27, 2017 Accepting new patients

Locations

100 Cooper Foster Park Rd
Ste 1
Amherst, OH 44001
Phone (440) 282-5701

1170 E Broad St
Ste 102
Elyria, OH 44035
Phone (440) 323-3574

Interoperability endpoints

  • Direct secure messaging: lkuchta623912@ehrdirect.uhhospitals.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBBACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBIIAD

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1871004309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 E BROAD ST STE 102",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356351",
            "telephone_number": "440-371-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E BROAD ST STE 102",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356351",
            "telephone_number": "440-323-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHTA",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRNCNP021848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.