| Lisa Renee Staley, NP | |
|
800 W Main St, Coldwater, OH 45828-1613 | |
| (260) 344-4035 | |
| (260) 969-9272 |
| Full Name | Lisa Renee Staley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 800 W Main St, Coldwater, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649719816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.020584 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mvhe Inc | 9537066584 | 154 |
| Entity Name | Mvhe Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659504785 PECOS PAC ID: 9537066584 Enrollment ID: O20031217000553 |
| Entity Name | Fep Acute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114516432 PECOS PAC ID: 8224443072 Enrollment ID: O20210211000112 |
| Entity Name | Fep Of Ohio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134718448 PECOS PAC ID: 2062827355 Enrollment ID: O20210218002451 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Renee Staley, NP 6435 W Jefferson Blvd, Fort Wayne, IN 46804-6203 Ph: (260) 344-4035 | Lisa Renee Staley, NP 800 W Main St, Coldwater, OH 45828-1613 Ph: (260) 344-4035 |
Jama Scheidt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 W Main St Ste 3, Coldwater, OH 45828 Phone: 419-678-2381 | |
Kevin M Dirksen, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 W Main St, Coldwater, OH 45828 Phone: 419-678-8446 Fax: 419-678-5996 | |
Bridget Geier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 W Main St Ste 3, Coldwater, OH 45828 Phone: 419-678-2381 | |
Lindsay Baxter, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 W Main St, Coldwater, OH 45828 Phone: 419-678-2341 | |
Jamie Lynn Nutt, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 W Main St, Coldwater, OH 45828 Phone: 419-678-2341 Fax: 419-678-3271 | |
Mrs. Lindsey A Lamm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 S Oak St, Coldwater, OH 45828 Phone: 419-678-2354 Fax: 419-678-4716 |