Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104159862 Individual Practitioner Female Practitioner

Lori A Provenzano

Case Manager/Care Coordinator • Willoughby, OH

Professional Overview & Biography Verified Profile Summary

Lori Provenzano is a registered healthcare professional specializing in Case Manager/Care Coordinator in Willoughby, OH. Practice services are available at 5105 SOM CENTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5105 Som Center Rd

Willoughby, OH 440944203

Telephone 4409754646
Fax 4409754607
Associated Practice Facility / Clinic
🏢 Healthspan Integrated Care Facility NPI 1649607433

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Willoughby, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
179 Specialists

Practicing in Willoughby, OH (35490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License OH RN264203

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
NPI 1003916479

Doctor of Medicine (M.D.)

Dr. James Lane , MD

Ophthalmology

NPI 1013023829

Doctor of Medicine (M.D.)

Julia Thomas

Pharmacist

NPI 1023253143
Kimberly Svec , FNP-C

Nurse Practitioner - Family

NPI 1093104598

Family Nurse Practitioner (Certified)

Tam Mclean

Family Medicine

NPI 1114260122
NPI 1275544645

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2014

Registered at 5105 SOM CENTER RD, WILLOUGHBY, OH 440944203 (Tel: 4409754646)

📍
Updated Business Mailing Address January 29, 2014

Registered at 6247 GATEWOOD DR, MENTOR, OH 440602147

👤
Provider Name / Credentials Updated January 29, 2014

Recorded as LORI PROVENZANO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2014

Case Manager/Care Coordinator (License #RN264203 in OH)

🟢
Initial NPI Registration & Enumeration September 14, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104159862
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2009
Last Update: January 29, 2014
Sole Proprietor: Yes

Mailing Address

6247 Gatewood Dr

Mentor, OH 440602147

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.