Individual provider Active NPI

Rachel Lynn Lydy, CNP

  • Family Nurse Practitioner
  • Elyria, OH
National Provider Identifier
1881357325
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030041 Issued in OH
Practice address
41201 Schadden Rd
Elyria, OH 44035-2249
Phone
(440) 324-0451
Fax
(440) 324-0441
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0030041 OH Primary

Addresses

Primary practice location

41201 Schadden Rd
Elyria, OH 44035-2249

Mailing address

41201 Schadden Rd
Elyria, OH 44035-2249
Phone (440) 324-0451

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
I20211109002718 OH Practitioner - Nurse Practitioner 7113316324 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0030041OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lorain, LLC CurrentSince Oct 31, 2021 Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Oct 31, 2021 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

41201 Schadden Rd
Elyria, OH 44035
Phone (440) 324-0400

Organizations & group practices 4

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": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1881357325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41201 SCHADDEN RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352249",
            "telephone_number": "440-324-0451",
            "fax_number": "440-324-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41201 SCHADDEN RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352249",
            "telephone_number": "440-324-0451",
            "fax_number": "440-324-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDY",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.