Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Omo-Griffith, NP

Individual provider Registered Nurse · NPI 1629399696

Lisa Omo-Griffith, NP is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2009, 17 years ago. Practices with Eventus Ecs, Inc, a 246-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Ohio.

Years since qualifying
17
Licensed in
IN, OH
In the registry since
2010
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5646 Coventry Ln
Fort Wayne, IN 46804-7140
Phone: (260) 203-5441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 — (260) 483-9081

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71003136 (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28156677 (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence COA13460 (OH)

Record details

NPI number1629399696
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 14, 2010
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Eventus Ecs, Inc — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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