LISA KAYE MCGUIRE NP
NPI 1093129041
Nurse Practitioner - Family in Middletown, OH

Active since June 18, 2014PECOS EnrolledAccepts Medicare Assignment
1036 S VERITY PKWY, MIDDLETOWN, OH 45044(513) 454-1111 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Kaye Mcguire Np NPPES

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

LISA KAYE MCGUIRE NP (NPI 1093129041) is an individual family provider in Middletown, Ohio, licensed in Ohio (COA.16039-NP) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093129041
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA KAYE MCGUIRECredential: NP
Location Address1036 S VERITY PKWYMiddletown, OH 45044-5513
Mailing Address300 High St Fl 4Hamilton, OH 45011-6078 · (513) 454-1460
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 18, 2014
Last NPPES UpdateDecember 30, 2019
NPI 1093129041 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 · COA.16039-NP
1036 S VERITY PKWY, Middletown, OH 45044

Accepted 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 Kaye Mcguire Np 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 ID8628295540
PECOS Enrollment IDI20140815001491
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45044 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.

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.

Social Worker
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Nurse Practitioner (Psychiatric/Mental Health)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Clinic/Center (Primary Care)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Social Worker (Clinical)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Nurse Practitioner (Family)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Social Worker (Clinical)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Dentist
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Nurse Practitioner (Family)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044

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 Mcguire's NPI number?

The NPI number for Lisa Mcguire is 1093129041. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Lisa Mcguire located?

Lisa Mcguire practices at 1036 S Verity Pkwy, Middletown, OH 45044. The listed phone number is (513) 454-1111.

What is Lisa Mcguire's specialty?

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

Is Lisa Mcguire enrolled in Medicare?

Yes. Lisa Mcguire 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 Mcguire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Lisa Mcguire 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.

When was this NPI record last updated?

The NPPES record for Lisa Mcguire was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.