Krista Ellis

Individual provider Active NPI Case Manager/Care Coordinator · Lisbon, OH

NPI 1982520656 · NPPES record last updated Jun 26, 2026

Key facts

NPI
1982520656
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
40722 State Route 154
Lisbon, OH 44432-8500
Phone
(330) 424-9573
Fax
(330) 424-0877
NPI assigned
Jun 26, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

40722 State Route 154
Lisbon, OH 44432-8500

Mailing address

40722 State Route 154
Lisbon, OH 44432-8500
Phone (330) 424-9573

Other providers in Lisbon, OH

All providers in Lisbon, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.