Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Marie Shoulders, PA-C

Individual provider Physician Assistant · NPI 1093379737

Lisa Marie Shoulders, PA-C is a Physician Assistant in Westerville, Ohio. Qualified in 2019, 7 years ago. Practices with Osu Internal Medicine LLC, a 1,145-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6100 N Hamilton Rd
Westerville, OH 43081-2062
Phone: (614) 293-6255
Fax: (614) 293-8518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 410 W 10th Ave, Columbus, OH 43210-1240 — (614) 685-2705

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.007564RX (OH)

Record details

NPI number1093379737
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Osu Internal Medicine Llc — 1145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Westerville