LISA MARIE KIRBY (APRN) – Acute Care Nurse Practitioner, NPI 1104347590

LISA MARIE KIRBY (APRN) is a healthcare provider. based in Lebanon, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. LE.00020382 (OH). The NPI Number for LISA MARIE KIRBY (APRN) is 1104347590

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE KIRBY (APRN)
NPI
1104347590
Phone
(513) 324-1883
Address
245 CHARLOTTE AVE
Enumeration Date
6 July 2017
Last Update Date
6 July 2017

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
9374615815
Graduation Year
2017 (9 years ago)
PAC ID
4385918697
Group Practice PAC ID
9234115379
Professional Enrollment ID
I20170926002362
Address ID
OH454092643DA1520XSTXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for LISA MARIE KIRBY (APRN)

  • 245 CHARLOTTE AVE

    LEBANON, OH 450361104

    Phone: (513) 324-1883

    Type: Mailing

  • Miami Valley Hospital, 1, Wyoming Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States

    DAYTON, OH 454092722

    Phone: (937) 208-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $163.

Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($119).

Total Amount

$163

General + Research + Ownership

Payments

2

Total payment records

General Amount

$163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170926002362INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45036)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234115379View full group profile
NameSpecialtyState
Nurse PractitionerOH
Pulmonary Disease, Critical Care (Intensivists)OH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineOH
Pulmonary Disease, Critical Care (Intensivists)OH
Pulmonary DiseaseOH
Pulmonary DiseaseOH
Internal MedicineOH

Reviews

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Frequently asked questions

Is LISA MARIE KIRBY (APRN) listed with a National Provider Identifier?
Yes — LISA MARIE KIRBY (APRN) has NPI 1104347590 on file in the registry.
Is LISA MARIE KIRBY (APRN) still an active registrant?
LISA MARIE KIRBY (APRN) carries an active NPI according to the public dataset.
What clinical focus is listed for LISA MARIE KIRBY (APRN)?
At a glance, LISA MARIE KIRBY (APRN) is tied to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with LISA MARIE KIRBY (APRN)?
Directory geography for LISA MARIE KIRBY (APRN) centers on Lebanon, Ohio.
When was this NPI issued?
Enumeration for LISA MARIE KIRBY (APRN) is noted as July 6, 2017 where the registry provides it.

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