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LORI A GAUTHIER RN, CNP
NPI 1164749917
Nurse Practitioner in Cincinnati, OH

Active since May 03, 2010PECOS EnrolledAccepts Medicare Assignment
3333 BURNET AVE., ML 11013, CINCINNATI, OH 45229(513) 636-5535(513) 636-9653 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 12, 2025, Dec 31, 2024, Oct 6, 2023 and 6 more (9 updates tracked since 2020).

About Lori A Gauthier Rn, Cnp NPPES

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

LORI A GAUTHIER RN, CNP (NPI 1164749917) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Kentucky (4001608) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164749917
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORI A GAUTHIERCredential: RN, CNP
Location Address3333 BURNET AVE., ML 11013Cincinnati, OH 45229-3039
Mailing Address2139 Auburn Ave, Ml 11013Cincinnati, OH 45219-2906 · (513) 636-5535 · Fax (513) 636-9653
Phone(513) 636-5535
Fax(513) 636-9653
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 3, 2010
Last NPPES UpdateOctober 13, 20259 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1164749917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in KY · 4001608✔ Licensed in NY · 341532✔ Licensed in MA · RN2344955✔ Licensed in OH · RN308729✔ Licensed in IN · 71015971A✔ Licensed in RI · APRN02523✔ Licensed in PA · SP022576
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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11024639 (FL)
3333 BURNET AVE., Cincinnati, OH 45229
Open in Google Maps ↗

Secondary Practice Locations 3

Location 17950 W Jefferson BlvdFort Wayne, IN 46804-4140 · Phone (888) 952-6772
Location 2123 Summer StWorcester, MA 01608-1216 · Phone (508) 363-5000
Location 3PO BOX 635004CINCINNATI, OH 45263-5004 · Phone (888) 952-6772

Other Identifiers 2

Medicaid3112170OH
Medicaid110199505AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Lori A Gauthier Rn, 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 ID8022205301
PECOS Enrollment IDI20170308000477, I20180208001311, I20250128001006
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
70 services70 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services52 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330273
Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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.

WARD R RICE MD, PHD
Pediatrics (Neonatal-Perinatal Medicine)
3333 BURNET AVE., ML 7009
CINCINNATI, OH 45229
Hamilton County (513) 636-4830
MARGARET K HOSTETTER MD
Pediatrics (Pediatric Infectious Diseases)
3333 BURNET AVE., INFECTIOUS DISEASES ML 6014
CINCINNATI, OH 45229
Hamilton County (513) 636-4578
DR. TERRY SCHWARTZ M.D.
Ophthalmology
3333 BURNET AVE., OPHTHALMOLOGY ML 4008
CINCINNATI, OH 45229
Hamilton County (513) 636-4751
CHARLES TREMAN QUINN MD
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE., ML 7015
CINCINNATI, OH 45229
Hamilton County (513) 636-4266
MICHAEL SEAN GRIMLEY M.D.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE., ML 7015
CINCINNATI, OH 45229
Hamilton County (513) 636-4266
EVALINE A ALESSANDRINI M.D.
Pediatrics (Pediatric Emergency Medicine)
3333 BURNET AVE., ML 2044
CINCINNATI, OH 45229
Hamilton County (513) 803-0478
SAMIR S SHAH M.D.
Pediatrics (Pediatric Infectious Diseases)
3333 BURNET AVE., ML 9016, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER
CINCINNATI, OH 45229
Hamilton County (513) 636-6222
LESLEE M PFAFF CRNA
Nurse Anesthetist, Certified Registered
3333 BURNET AVE., ML 2001
CINCINNATI, OH 45229
Hamilton County (513) 636-4408

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 Lori Gauthier's NPI number?

The NPI number for Lori Gauthier is 1164749917. It was assigned to this individual provider in the NPPES registry on May 3, 2010.

Where is Lori Gauthier located?

Lori Gauthier practices at 3333 Burnet Ave. Ml 11013, Cincinnati, OH 45229. The listed phone number is (513) 636-5535.

What is Lori Gauthier's specialty?

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

Is Lori Gauthier enrolled in Medicare?

Yes. Lori Gauthier 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 Lori Gauthier accept?

Health plans from CareSource list Lori Gauthier 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 Lori Gauthier affiliated with any hospitals?

According to CMS data, Lori Gauthier is affiliated with Lutheran Hospital Of Indiana and Putnam Hospital Center.

When was this NPI record last updated?

The NPPES record for Lori Gauthier was last updated on October 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.