LISA MARIE SHOULDERS PA-C
NPI 1093379737
Physician Assistant in Westerville, OH

Q: What is Lisa Shoulders's NPI number?

The NPI number for Lisa Shoulders is 1093379737. It was assigned to this individual provider in the NPPES registry on April 29, 2019. The provider is also known as Lisa Marie Dunbar Pa-C.

Q: What is Lisa Shoulders's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Shoulders was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 April 29, 2019PECOS EnrolledAccepts Medicare Assignment

6100 N HAMILTON RD, WESTERVILLE, OH 43081(614) 293-6255(614) 293-8518 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Nov 18, 2024, Dec 13, 2022 and 3 more (6 updates tracked since 2019).

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About Lisa Marie Shoulders Pa-c NPPES

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

LISA MARIE SHOULDERS PA-C (NPI 1093379737) is an individual physician assistant in Westerville, Ohio, licensed in Ohio (50.007564RX) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1093379737

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLISA MARIE SHOULDERSCredential: PA-C

Location Address6100 N HAMILTON RDWesterville, OH 43081-2062

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-6255 · Fax (614) 293-8518

Phone(614) 293-6255

Fax(614) 293-8518

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 29, 2019

Last NPPES UpdateApril 17, 20266 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1093379737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.007564RX

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6100 N HAMILTON RD, Westerville, OH 43081

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Other Names 1

Former Name (1)Lisa Marie Dunbar Pa-c

Secondary Practice Location 1

Location 1410 W 10th AveColumbus, OH 43210-1240 · Phone (614) 685-2705 · Fax (614) 685-5789

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 Marie Shoulders Pa-c 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 ID345675534

PECOS Enrollment IDI20220818003329

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.

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43081 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

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

MICHAEL J DIAL MD

Internal Medicine