IndividualActive
Lisa Shoulders, PA-C
NPI 1093379737 · Physician Assistant · Westerville, OH
Provider details
- NPI number
- 1093379737
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 50.007564RX (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6100 N Hamilton Rd
Westerville, OH 43081-2062
Phone: (614) 293-6255
Fax: (614) 293-8518
Street-level locationGet directions
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Additional practice locations (1)
- 410 W 10th AveColumbus, OH 43210-1240Phone: (614) 685-2705Fax: (614) 685-5789
Registry dates
- Enumerated
- 2019-04-29
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.