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MRS. LISA JENNIFER KING CRNP
NPI 1104155605
Nurse Practitioner in Mansfield, OH

Active since December 11, 2009PECOS Enrolled
70 MADISON RD, MANSFIELD, OH 44905(419) 589-9700(419) 589-2731 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lisa Jennifer King Crnp NPPES

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

MRS. LISA JENNIFER KING CRNP (NPI 1104155605) is an individual nurse practitioner in Mansfield, Ohio, licensed in Ohio (COA.11067-NP) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104155605
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LISA JENNIFER KINGCredential: CRNP
Location Address70 MADISON RDMansfield, OH 44905-2831
Mailing Address1025 S Trimble RdMansfield, OH 44906-3427 · (419) 589-9700 · Fax (419) 589-2103
Phone(419) 589-9700
Fax(419) 589-2731
Sole ProprietorYes
Enumeration DateDecember 11, 2009
Last NPPES UpdateMarch 8, 2016
✔ NPI 1104155605 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 · COA.11067-NP
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.
70 MADISON RD, Mansfield, OH 44905
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Jennifer King Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44905 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

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

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
1 supplier12 claims12 services$110.04 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.

MRS. ANGELA LYNN GRANSON CRNP
Nurse Practitioner (Adult Health)
70 MADISON RD
MANSFIELD, OH 44905
Richland County (419) 589-9700
DR. ALFRED GRANSON JR. M.D., LLC
Specialist
70 MADISON RD
MANSFIELD, OH 44905
Richland County (419) 589-9700
ALFRED GRANSON JR MD LLC
Internal Medicine
70 MADISON RD
MANSFIELD, OH 44905
Richland County (419) 589-9700

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 King's NPI number?

The NPI number for Lisa King is 1104155605. It was assigned to this individual provider in the NPPES registry on December 11, 2009.

Where is Lisa King located?

Lisa King practices at 70 Madison Rd, Mansfield, OH 44905. The listed phone number is (419) 589-9700.

What is Lisa King's specialty?

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

Is Lisa King enrolled in Medicare?

Yes. Lisa King is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa King was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.