Individual provider Active NPI

Lisa Marie Campbell, FNP

  • Family Nurse Practitioner
  • Lorain, OH
National Provider Identifier
1942784814
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07182461 Issued in OH
Practice address
Family Health and Surgery Center
5700 Cooper Foster Park Road
Lorain, OH 44053
Phone
(440) 695-5000
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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 F07182461 OH Primary

Addresses

Primary practice location

Family Health and Surgery Center
5700 Cooper Foster Park Road
Lorain, OH 44053

Mailing address

1210 Laguna Dr
Huron, OH 44839-2607
Phone (419) 656-2702

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
I20181019001081 OH Practitioner - Nurse Practitioner 5799038840 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07182461OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Aug 10, 2022 Accepting new patients
Incare Health Solutions LLC CurrentSince Oct 1, 2018 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Mar 1, 2022 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Oct 1, 2018 Accepting new patients
Wooster Clinic, LLC CurrentSince Aug 10, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Mar 1, 2022 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

4340 Leavitt Rd
Ste D
Lorain, OH 44053
Phone (440) 444-0497

5700 Cooper Foster Park Rd W
Lorain, OH 44053
Phone (440) 204-7400

1111 Lincoln Way E
Massillon, OH 44646
Phone (330) 809-1800

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Organizations & group practices 6

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 1

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1942784814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 LAGUNA DR",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448392607",
            "telephone_number": "419-656-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAMILY HEALTH AND SURGERY CENTER",
            "address_2": "5700 COOPER FOSTER PARK ROAD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44053",
            "telephone_number": "440-695-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F07182461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.