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MS. LORI ANN RUMFIELD CNP
NPI 1295084887
Nurse Practitioner - Family in Manchester, OH

Active since August 29, 2012PECOS EnrolledAccepts Medicare Assignment
130 WAYNE FRYE DR, MANCHESTER, OH 45144(937) 549-1270(937) 549-1286 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2021, Jul 17, 2019, Mar 28, 2017 (3 updates tracked since 2017).

About Ms. Lori Ann Rumfield Cnp NPPES

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

MS. LORI ANN RUMFIELD CNP (NPI 1295084887) is an individual family provider in Manchester, Ohio, licensed in Ohio (13608-NP) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Ohio Medical University (2012).

NPPES Registry Identity

NPI1295084887
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LORI ANN RUMFIELDCredential: CNP
Location Address130 WAYNE FRYE DRManchester, OH 45144-9314
Mailing Address941 Market StPiketon, OH 45661-9757 · (740) 289-2371 · Fax (740) 289-4291
Phone(937) 549-1270
Fax(937) 549-1286
Sole ProprietorYes
Medical School CMSOhio Medical UniversityGraduated 2012
Enumeration DateAugust 29, 2012
Last NPPES UpdateSeptember 22, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1295084887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 13608-NP
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 13608-NP (OH)
130 WAYNE FRYE DR, Manchester, OH 45144
Open in Google Maps ↗

Other Identifiers 1

Medicaid0083241OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lori Ann Rumfield 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 ID1557508629
PECOS Enrollment IDI20130508000531
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lori Rumfield reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Action Committee Of Pike County
25 mi
Primary Care
23030 ST RT 73, FAMILY HEALTH CENTER WEST PORTSMOUTH
Portsmouth, OH 45663
  • Reassigned Medicare billing, Ohio enrollment
  • 25 clinicians in this Medicare group
NPI 1912164146 (740) 858-1063
Highland Urgent Care
35 mi
Urgent Care
231 W MAIN ST UNIT A
Hillsboro, OH 45133
  • Reassigned Medicare billing, Ohio enrollment
  • 13 clinicians in this Medicare group
NPI 1619283173 (937) 763-1220
Palliative Care Support Solutions, LLC
103 mi
Hospice and Palliative Medicine
26261 MAIN ST STE 2
Coolville, OH 45723
  • Reassigned Medicare billing, Ohio enrollment
  • 18 clinicians in this Medicare group
NPI 1154941417 (740) 415-1138

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
197 services91 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
157 services36 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
72 services23 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
70 services29 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
13 services12 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45144 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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BHUPESH KIRAN MANDALI BDS/DDS
Dentist
130 WAYNE FRYE DR
MANCHESTER, OH 45144
Adams County (937) 549-1279
LISA PARKER RN
Registered Nurse
130 WAYNE FRYE DR
MANCHESTER, OH 45144
Adams County (937) 549-4777
MANCHESTER LOCAL SCHOOL DISTRICT
Local Education Agency (LEA)
130 WAYNE FRYE DR
MANCHESTER, OH 45144
Adams County (937) 549-4777
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
130 WAYNE FRYE DR
MANCHESTER, OH 45144
Adams County (937) 549-1270
DR. MICHELLE KNISLEY AYRES D.D.S.
Dentist
130 WAYNE FRYE DR
MANCHESTER, OH 45144
Adams County (937) 549-1270
JORDAN REISER ED.S
Psychologist (School)
130 WAYNE FRYE DR
MANCHESTER, OH 45144
Adams County (937) 549-4777
MORGAN LEIGH JOHNSON
Counselor (Professional)
130 WAYNE FRYE DR
MANCHESTER, OH 45144
Adams County (937) 549-1270
KATELYN BROOKE PATRICK
Speech-Language Pathologist
130 WAYNE FRYE DR
MANCHESTER, OH 45144
Adams County (937) 549-4777

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 Rumfield's NPI number?

The NPI number for Lori Rumfield is 1295084887. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Lori Rumfield located?

Lori Rumfield practices at 130 Wayne Frye Dr, Manchester, OH 45144. The listed phone number is (937) 549-1270.

What is Lori Rumfield's specialty?

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

Is Lori Rumfield enrolled in Medicare?

Yes. Lori Rumfield 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.

Which organizations bill Medicare for Lori Rumfield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Rumfield reassigns Medicare benefits to 3 organizations: Community Action Committee Of Pike County (Portsmouth, OH), Highland Urgent Care (Hillsboro, OH) and Palliative Care Support Solutions, LLC (Coolville, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lori Rumfield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Rumfield accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Lori Rumfield 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 Lori Rumfield was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.