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LISA OMO-GRIFFITH N.P.
NPI 1629399696
Nurse Practitioner - Family in Fort Wayne, IN

Active since June 14, 2010PECOS EnrolledAccepts Medicare Assignment
5646 COVENTRY LN, FORT WAYNE, IN 46804(260) 203-5441 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lisa Omo-griffith N.p. NPPES

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

LISA OMO-GRIFFITH N.P. (NPI 1629399696) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71003136) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Wayne, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629399696
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA OMO-GRIFFITHCredential: N.P.
Location Address5646 COVENTRY LNFort Wayne, IN 46804-7140
Mailing Address6809 Covington Creek TrlFort Wayne, IN 46804-2871 · (260) 437-4173 · Fax (260) 918-6855
Phone(260) 203-5441
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 14, 2010
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1629399696 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
Licenses✔ Licensed in IN · 71003136✔ Licensed in OH · COA13460
Also ListedRegistered NurseTaxonomy 163W00000X · License 28156677 (IN)
5646 COVENTRY LN, Fort Wayne, IN 46804
Open in Google Maps ↗

Secondary Practice Location 1

Location 13512 Stellhorn RdFort Wayne, IN 46815-4631 · Phone (260) 483-9081 · Fax (260) 918-6855

Other Identifiers 4

Other000000682872IN · Anthem
Medicaid0069880OH
Medicaid200999600IN
OtherP01044179IN · R.r. Medicare

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

Lisa Omo-griffith N.p. 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 ID6709072853
PECOS Enrollment IDI20101201000449
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 10

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.
1,469 services233 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
442 services153 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
303 services105 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.
211 services72 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
188 services30 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.
123 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$18.49 avg. paid by Medicare
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
2 suppliers20 claims20 services$96.24 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

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

HEART TO HEART HOSPICE OF NORTHEAST INDIANA, LLC
Hospice Care, Community Based
5646 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 203-5441

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 Omo-griffith's NPI number?

The NPI number for Lisa Omo-griffith is 1629399696. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Where is Lisa Omo-griffith located?

Lisa Omo-griffith practices at 5646 Coventry Ln, Fort Wayne, IN 46804. The listed phone number is (260) 203-5441.

What is Lisa Omo-griffith's specialty?

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

Is Lisa Omo-griffith enrolled in Medicare?

Yes. Lisa Omo-griffith 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 Lisa Omo-griffith accept?

Health plans from CareSource list Lisa Omo-griffith 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 Lisa Omo-griffith was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.