Individual provider Active NPI

Lisa Prebish, CRNP

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1932504263
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.16746-NP Issued in OH
Practice address
3569 Ridge Rd
Cleveland, OH 44102-5443
Phone
(216) 281-0872
Fax
(216) 281-9565
NPI assigned
Oct 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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 COA.16746-NP OH Primary

Addresses

Primary practice location

3569 Ridge Rd
Cleveland, OH 44102-5443

Mailing address

3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872

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
I20150121002355 OH Practitioner - Nurse Practitioner 1052635018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

1946 Town Park Blvd
Suite 120
Uniontown, OH 44685-8372
Phone (800) 941-6672

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Medina Hospital Hospital, Medina, OH, CCN 360091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA.16746-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Pain and Anesthesia Center LLC CurrentSince Jun 1, 2015 Accepting new patients
Partners Physician Group CurrentSince Apr 1, 2023 Accepting new patients
Partners Physician Group CurrentSince Apr 1, 2023 Accepting new patients
The Metrohealth System Current Accepting new patients
Partners Physician Group Past Accepting new patients

Locations

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

1946 Town Park Blvd
Ste 120
Green, OH 44685
Phone (800) 941-6672

721 E Milltown Rd
Wooster, OH 44691
Phone (330) 287-4500

3373 Commerce Pkwy
Ste 3
Wooster, OH 44691
Phone (330) 284-9119

Interoperability endpoints

  • Direct secure messaging: lprebish98511@direct.metrohealth.org

Organizations & group practices 5

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": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1932504263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872",
            "fax_number": "216-281-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872",
            "fax_number": "216-281-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREBISH",
        "first_name": "LISA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.16746-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.