Lisa Omo-griffith
N.P. | Nurse Practitioner | 17+ years Exp
5646 Coventry Ln, Fort Wayne
Indiana, 46804-7140
260-203-5441
Accepts Medicare Nurse Practitioner in Fort Wayne, Indiana.Lisa Omo-griffith is a Fort Wayne, Indiana based nurse practitioner with 17 years of experience as Nurse Practitioner. She completed her graduation in 2009. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa Omo-griffith is 71003136 for Family NP in Indiana. Her current practice location is 5646 Coventry Ln, Fort Wayne. Patients can reach her at 260-203-5441. Lisa Omo-griffith is N.P. with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1629399696.
Lisa Omo-griffith has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lisa Omo-griffith speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lisa Omo-griffith |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | N.P. |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2009 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5646 Coventry Ln, Fort Wayne, Indiana, 46804-7140 |
| Phone: | 260-203-5441 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6709072853 |
| Enrollment ID: | I20101201000449 |
| NPI Number: | 1629399696 |
| NPI Enumeration Date: | 14 Jun, 2010 |
| NPI Last Update On: | 11 Sep, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Omo-griffith are as mentioned below.
| License Number | Specialization | State | Status | |
| 71003136 | Family NP | Indiana | Primary | |
| 28156677 | Registered Nurse | Indiana | Secondary | |
| COA13460 | Family NP | Ohio | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (150150) | Fort wayne, IN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lisa Omo-griffith is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Eventus Wholehealth Midwest Inc (4183040470) | 78 |
| Extended Care Specialists, Inc (2466407713) | 128 |
| Hospital Care Group Pc (7416107487) | 26 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa Omo-griffith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000682872 | Other | Indiana | ANTHEM |
| 0069880 | Medicaid | Ohio | |
| 200999600 | Medicaid | Indiana | |
| P01044179 | Other | Indiana | R.R. MEDICARE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lisa Omo-griffith 6809 Covington Creek Trl, Fort Wayne, Indiana |
| Zip: | 46804-2871 |
| Phone Number: | 260-437-4173 |
| Fax Number: | 260-918-6855 |
Patients can reach Lisa Omo-griffith at
5646 Coventry Ln, Fort Wayne, Indiana or can
call to book an appointment on 260-203-5441.
Comments/ Reviews:
Patients can read all the reviews posted for Lisa Omo-griffith below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Lisa Omo-griffith. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.