LISA ANN BOBO (CNP) – Acute Care Nurse Practitioner, NPI 1598403479
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
Provider Addresses for LISA ANN BOBO (CNP)
248 MANNASEH DR W
GRANVILLE, OH 430237517
Phone:
Type: Mailing
6001 E BROAD ST
COLUMBUS, OH 432131502
Phone: (614) 234-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-01-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220820000103 | I | Nurse Practitioner | OH | TBD |
| I20260106002023 | I | Nurse Practitioner | WV | TBD |
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.
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 43023)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Internal Medicine | PA | |
| Internal Medicine | WV | |
| O T O L A R Y N G O L O G Y | PA | |
| Family Practice | WV | |
| Internal Medicine | WV | |
| - | WV | |
| Nurse Practitioner | KY | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | PA | |
| Nurse Practitioner | WV | |
| O T O L A R Y N G O L O G Y | AZ |
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