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LISA A PLEIMAN CNP
NPI 1982898656
Nurse Practitioner in Sidney, OH

Active since September 05, 2007PECOS EnrolledAccepts Medicare Assignment
84.78/100
CMS Quality Rating
915 WEST MICHIGAN STREET, SIDNEY, OH 45365(937) 498-5373(937) 498-5377 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa A Pleiman Cnp NPPES

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

LISA A PLEIMAN CNP (NPI 1982898656) is an individual nurse practitioner in Sidney, Ohio, licensed in Ohio (NP09526) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1982898656
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA A PLEIMANCredential: CNP
Location Address915 WEST MICHIGAN STREETSidney, OH 45365
Mailing Address915 West Michigan StreetSidney, OH 45365 · (937) 498-5373 · Fax (937) 498-5377
Phone(937) 498-5373
Fax(937) 498-5377
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 5, 2007
Last NPPES UpdateDecember 15, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1982898656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · NP09526
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.

915 WEST MICHIGAN STREET, Sidney, OH 45365
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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 A Pleiman 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 ID3173617214
PECOS Enrollment IDI20070919000740
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 3

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 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.
73 services62 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
65 services65 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45365 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.

84.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.09
Promoting Interoperability100
Improvement Activities40
Cost74.18

Other Providers at the Same Location NPPES 7

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

DR. DONALD ERIC NEWMAN M.D.
Emergency Medicine
915 WEST MICHIGAN STREET
SIDNEY, OH 45365
Shelby County (937) 498-5300
DR. ROBERT J MCDEVITT JR. M.D.
Surgery
915 WEST MICHIGAN STREET, SUITE 201
SIDNEY, OH 45365
Shelby County (937) 492-2094
SHELBY COUNTY SURGICAL ASSOC INC
Surgery
915 WEST MICHIGAN STREET, SUITE 201
SIDNEY, OH 45365
Shelby County (937) 492-2094
MARCUS MILLER MD
Preventive Medicine (Occupational Medicine)
915 WEST MICHIGAN STREET
SIDNEY, OH 45365
Shelby County (937) 492-7296
WILSON MEMORIAL HOSPITAL
General Acute Care Hospital
915 WEST MICHIGAN STREET, OCCUPATIONAL HEALTH
SIDNEY, OH 45365
Shelby County (937) 498-5545
ERIC JOHN PRENGER MD
Family Medicine
915 WEST MICHIGAN STREET, BUILDING A
SIDNEY, OH 45365
Shelby County (937) 492-4890
MIGUEL TOPALOV MD INC
Specialist
915 WEST MICHIGAN STREET, SUITE 302
SIDNEY, OH 45365
Shelby County (937) 492-3191

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 Pleiman's NPI number?

The NPI number for Lisa Pleiman is 1982898656. It was assigned to this individual provider in the NPPES registry on September 5, 2007.

Where is Lisa Pleiman located?

Lisa Pleiman practices at 915 West Michigan Street, Sidney, OH 45365. The listed phone number is (937) 498-5373.

What is Lisa Pleiman's specialty?

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

Is Lisa Pleiman enrolled in Medicare?

Yes. Lisa Pleiman 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 Pleiman accept?

Health plans from CareSource list Lisa Pleiman 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 Lisa Pleiman affiliated with any hospitals?

According to CMS data, Lisa Pleiman is affiliated with Wilson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Pleiman was last updated on December 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.