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LORI STUPP-BOBULA PA-C
NPI 1174567374
Physician Assistant in Cincinnati, OH

Active since June 16, 2006PECOS Enrolled
3200 VINE ST, CINCINNATI, OH 45220(513) 475-6509 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2020, Sep 16, 2016 (2 updates tracked since 2016).

About Lori Stupp-bobula Pa-c NPPES

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

LORI STUPP-BOBULA PA-C (NPI 1174567374) is an individual physician assistant in Cincinnati, Ohio, licensed in New York (4787-01) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174567374
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLORI STUPP-BOBULACredential: PA-C
Location Address3200 VINE STCincinnati, OH 45220-2213
Mailing Address3200 Vine StCincinnati, OH 45220-2213 · (513) 475-6509
Phone(513) 475-6509
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJune 9, 20202 updates tracked since enumeration
NPPES CertifiedJune 9, 2020
✔ NPI 1174567374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 4787-01✔ Licensed in FL · PA9109437✔ Licensed in NJ · 25MP00071900✔ Licensed in KY · PA 1739✔ Licensed in IL · 085004287✔ Licensed in OH · 50.003029✔ Licensed in NY · 004787
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.
3200 VINE ST, Cincinnati, OH 45220
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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)

Lori Stupp-bobula Pa-c 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 45220 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.

CASEY TURNER
Physical Therapist
3200 VINE ST, REHABILITATION CARE LINE
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
MS. CYNTHIA ANN MALLOY RD
Dietitian, Registered
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
CHRISTOPHER GREGORY FLOYD M.S., M.A.
Psychologist
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
DR. ROBIN H. VANDIVIER-PLETSCH M.D.
Internal Medicine (Cardiovascular Disease)
3200 VINE ST, CARDIOLOGY SECTION (111C)
CINCINNATI, OH 45220
Hamilton County (513) 475-6383
RACHELLE ANN SEKERKA PHD
Psychologist
3200 VINE ST, 116B
CINCINNATI, OH 45220
Hamilton County (513) 475-6402
MRS. LESA JANE HORNBACH RPH
Pharmacist
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
MR. MICHAEL PAUL LAGERSTRAND SR. CO
Specialist (Prosthetics Case Management)
3200 VINE ST, 539/121
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
KATELYN MCBRIDE PHARMD, RPH
Pharmacist
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100

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 Stupp-bobula's NPI number?

The NPI number for Lori Stupp-bobula is 1174567374. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Lori Stupp-bobula located?

Lori Stupp-bobula practices at 3200 Vine St, Cincinnati, OH 45220. The listed phone number is (513) 475-6509.

What is Lori Stupp-bobula's specialty?

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

Is Lori Stupp-bobula enrolled in Medicare?

Yes. Lori Stupp-bobula is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lori Stupp-bobula was last updated on June 9, 2020. 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.