LISA K SGAMBELLONE CNP
NPI 1033499876
Nurse Practitioner in Bucyrus, OH

Q: What is Lisa Sgambellone's NPI number?

The NPI number for Lisa Sgambellone is 1033499876. It was assigned to this individual provider in the NPPES registry on August 25, 2011. The provider is also known as Lisa K Kidwell.

Q: What is Lisa Sgambellone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Sgambellone was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 25, 2011PECOS EnrolledAccepts Medicare Assignment

73.97/100

CMS Quality Rating

629 N SANDUSKY AVE, BUCYRUS, OH 44820(419) 562-4677(419) 462-5372 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Lisa K Sgambellone Cnp NPPES

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

LISA K SGAMBELLONE CNP (NPI 1033499876) is an individual nurse practitioner in Bucyrus, Ohio, licensed in Ohio (2011007376) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Galion Community Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1033499876

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA K SGAMBELLONECredential: CNP

Location Address629 N SANDUSKY AVEBucyrus, OH 44820-1821

Mailing Address629 N Sandusky AveBucyrus, OH 44820-1821 · (419) 562-4677 · Fax (419) 462-5372

Phone(419) 562-4677

Fax(419) 462-5372

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateAugust 25, 2011

Last NPPES UpdateJanuary 8, 2021

NPPES CertifiedJanuary 8, 2021

✔ NPI 1033499876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · 2011007376

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

629 N SANDUSKY AVE, Bucyrus, OH 44820

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Other Names 1

Former Name (1)Lisa K Kidwell

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.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 K Sgambellone Cnp 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 ID4385810902

PECOS Enrollment IDI20120104000074

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.

Hospital Affiliations CMS Care Compare

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

Galion Community Hospital

Critical Access Hospitals · Galion, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number361325

Location269 Portland Way SouthGalion, OH 44833 · Crawford County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44820 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.97/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.9

Promoting Interoperability

Improvement Activities

Cost

39.16

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

2 suppliers36 claims36 services$18.28 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

4 suppliers71 claims71 services$100.38 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier16 claims16 services$35.48 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 20

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

MICHAEL W WOROBIEC MD

Internal Medicine