LISA M ELLIOTT (CNP) – Adult Health Nurse Practitioner, NPI 1447652458

LISA M ELLIOTT (CNP) is a healthcare provider. based in Poland, Ohio. specializing in Adult Health Nurse Practitioner. They hold the professional credentials CNP. They hold a License No. APRN.CNP.022926 (OH). The NPI Number for LISA M ELLIOTT (CNP) is 1447652458

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LISA M ELLIOTT (CNP)
NPI
1447652458
Phone
(330) 954-3363
Address
715 E WESTERN RESERVE RD
Enumeration Date
22 September 2014
Last Update Date
11 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
9830411065
Group Practice PAC ID
9234318270
Professional Enrollment ID
I20141125001318
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for LISA M ELLIOTT (CNP)

  • 715 E WESTERN RESERVE RD

    2ND FL

    POLAND, OH 445143358

    Phone: (330) 954-3363

    Fax: (330) 729-7701

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $262.

Total Amount is formed as General ($262) + Research ($0) + Ownership ($0) = $262.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($64).

Total Amount

$262

General + Research + Ownership

Payments

14

Total payment records

General Amount

$262

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

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: 2014-11-25

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
I20141125001318ICertified Clinical Nurse Specialist (Cns)OHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes250210$0
99215Established patient office or other outpatient visit, 40-54 minutes6960$0
View full utilization report →

Insurance plans in this area (ZIP 44514)

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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: 9234318270View full group profile

Reviews

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Frequently asked questions

How is LISA M ELLIOTT (CNP) identified in CMS data?
CMS-hosted NPPES data lists LISA M ELLIOTT (CNP) with NPI 1447652458.
Is LISA M ELLIOTT (CNP) listed as active for patients and plans?
The listing shows LISA M ELLIOTT (CNP) as active in the NPI system.
What healthcare role does LISA M ELLIOTT (CNP) hold?
Scheduling teams often label LISA M ELLIOTT (CNP) under Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LISA M ELLIOTT (CNP) based?
LISA M ELLIOTT (CNP) is tied to Poland, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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