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LISA BAINTER APRN-NPC
NPI 1003301516
Nurse Practitioner - Family in Toledo, OH

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment
2109 HUGHES DR STE 760, TOLEDO, OH 43606(419) 291-7555(419) 479-2696 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 3, 2023, Jun 27, 2018 (2 updates tracked since 2018).

About Lisa Bainter Aprn-npc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA BAINTER APRN-NPC (NPI 1003301516) is an individual family provider in Toledo, Ohio, licensed in Ohio (14273317) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003301516
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA BAINTERCredential: APRN-NPC
Location Address2109 HUGHES DR STE 760Toledo, OH 43606-5111
Mailing Address2109 Hughes Dr Ste 760Toledo, OH 43606-5111 · (419) 291-7555 · Fax (419) 479-2696
Phone(419) 291-7555
Fax(419) 479-2696
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 27, 2018
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
✔ NPI 1003301516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 14273317
2109 HUGHES DR STE 760, Toledo, OH 43606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Bainter Aprn-npc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597017640
PECOS Enrollment IDI20181017003642
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
199 services137 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360156
Location715 South Taft AvenueFremont, OH 43420 · Sandusky County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers26 claims26 services$14.35 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers23 claims23 services$3.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers62 claims62 services$75.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL KARCHNER NP
Nurse Practitioner
2109 HUGHES DR STE 760
TOLEDO, OH 43606
Lucas County (419) 291-7555
ERIKA MANIS M.D.
Psychiatry & Neurology (Sleep Medicine)
2109 HUGHES DR STE 760
TOLEDO, OH 43606
Lucas County (419) 291-7555
TAMER SAID AHMED MD
Internal Medicine (Pulmonary Disease)
2109 HUGHES DR STE 760
TOLEDO, OH 43606
Lucas County (419) 291-7555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bainter's NPI number?

The NPI number for Lisa Bainter is 1003301516. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Lisa Bainter located?

Lisa Bainter practices at 2109 Hughes Dr Ste 760, Toledo, OH 43606. The listed phone number is (419) 291-7555.

What is Lisa Bainter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Bainter enrolled in Medicare?

Yes. Lisa Bainter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Bainter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and CareSource and 2 other insurers list Lisa Bainter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisa Bainter affiliated with any hospitals?

According to CMS data, Lisa Bainter is affiliated with Promedica Toledo Hospital and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Bainter was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.