LISA RENEE STALEY NP
NPI 1649719816
Nurse Practitioner - Family in Coldwater, OH

Q: What is Lisa Staley's NPI number?

The NPI number for Lisa Staley is 1649719816. It was assigned to this individual provider in the NPPES registry on February 21, 2017. The provider is also known as Lisa Renee Lee Lpn.

Q: What is Lisa Staley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Staley was last updated on March 2, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 21, 2017PECOS EnrolledAccepts Medicare Assignment

84.95/100

CMS Quality Rating

800 W MAIN ST, COLDWATER, OH 45828(260) 344-4035(260) 969-9272 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2017, Feb 21, 2017 (2 updates tracked since 2017).

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About Lisa Renee Staley Np NPPES

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

LISA RENEE STALEY NP (NPI 1649719816) is an individual family provider in Coldwater, Ohio, licensed in Ohio (APRN.CNP.020584) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649719816

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA RENEE STALEYCredential: NP

Location Address800 W MAIN STColdwater, OH 45828-1613

Mailing Address6435 W Jefferson BlvdFort Wayne, IN 46804-6203 · (260) 344-4035 · Fax (260) 969-9272

Phone(260) 344-4035

Fax(260) 969-9272

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 21, 2017

Last NPPES UpdateMarch 2, 20172 updates tracked since enumeration

✔ NPI 1649719816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.020584

800 W MAIN ST, Coldwater, OH 45828

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Other Names 1

Former Name (1)Lisa Renee Lee Lpn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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 Renee Staley Np 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 ID4486929700

PECOS Enrollment IDI20171011003898

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

97 services72 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services21 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

24 services22 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45828 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.68

Promoting Interoperability

100

Improvement Activities

Cost

69.16

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.

DONN S FISHBEIN MD

Pathology (Anatomic Pathology & Clinical Pathology)