BARBARA LIGHTNER CNP
NPI 1316962467
Nurse Practitioner - Pediatrics in Cleveland, OH
NPI Status: Active since July 12, 2006
Contact Information
2500 METROHEALTH DR
CLEVELAND, OH
ZIP 44109
Phone: (216) 778-7800
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About BARBARA LIGHTNER
This page provides the complete NPI Profile along with additional information for Barbara Lightner, a provider established in Cleveland, Ohio with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1316962467 assigned on July 2006. The practitioner's primary taxonomy code is 363LP0200X with license number NP03498 (OH). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1316962467
- Provider Name
- BARBARA LIGHTNER CNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2500 METROHEALTH DR CLEVELAND, OH 44109
- Location Phone
- (216) 778-7800
- Mailing Address
- 2500 METROHEALTH DR CLEVELAND, OH 44109
- Mailing Phone
- (216) 778-1486
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-12-2006
- Last Update Date
- 12-27-2021
- Code Navigator
A nurse practitioner (NP) like Barbara Lightner is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- NP03498
- License State
- OH
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Bronze Standard w/ Virtual & Wellness (CLE-Care) - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Gold Standard w/ Virtual & Wellness (CLE-CARE) - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2095709 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Barbara Lightner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 44109 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 9 | 6 | 2 | 4 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 18 | 6 | 4 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 1 + 8 + 6 + 4 + 4 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1316962467 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992704886 | CARIE TWICHELL AA Individual | Anesthesiologist Assistant | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-4809 |
| 1104827740 | JULIA A. RILEY PHARM.D. Individual | Pharmacist | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-1946 |
| 1013909209 | MR. KRISTEN NILS HANSEN RPH Individual | Pharmacist | 2500 METROHEALTH DR WOMENS AND CHILDRENS PLAZA CLEVELAND, OH 44109 (216) 778-8537 |
| 1710970082 | MS. KELLYE KAUFMAN AA-C Individual | Anesthesiologist Assistant | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-4801 |
| 1881687564 | MR. BRADEN JOSEPH KUNZELMAN RPH Individual | Pharmacist | 2500 METROHEALTH DR AMBULATORY PHARMACY CLEVELAND, OH 44109 (216) 778-7548 |
| 1508859281 | MS. STEPHANIE E CROSS RPH Individual | Pharmacist | 2500 METROHEALTH DR OUTPATIENT PHARMACY CLEVELAND, OH 44109 (216) 778-3017 |
| 1154315364 | MR. JOSEPH PEACHMAN A.A. Individual | Anesthesiologist Assistant | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-4801 |
| 1801880596 | MR. MICHAEL L PYRTKO RPH Individual | Pharmacist | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-7548 |
| 1588658157 | MS. EBONY NICOLE ALEXANDER RPH Individual | Pharmacist | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-3017 |
| 1275522765 | HANS C GEHO M.D. Individual | Internal Medicine | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-7800 |
| 1376523670 | DR. ANDRE PROCHOROFF MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-4933 |
| 1831166636 | SHANE B ROWAN MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-2328 |
| 1144284928 | DR. BEN H BROUHARD MD Individual | Pediatrics (Pediatric Nephrology) | 2500 METROHEALTH DR ROOM A-109 CLEVELAND, OH 44109 (216) 778-4900 |
| 1740246347 | SHARI DANIELLE BOLEN M.D. Individual | Internal Medicine | 2500 METROHEALTH DR METROHEALTH MEDICAL CENTER-INTERNAL MEDICINE CLINIC CLEVELAND, OH 44109 (216) 778-2273 |
| 1457304255 | WILLIAM E CAPPAERT M.D. Individual | Ophthalmology | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-2236 |
| 1316987902 | SHARON LYNN MACK CNP Individual | Nurse Practitioner | 2500 METROHEALTH DR CLEVELAND, OH 44109 (216) 778-7800 |
| 1770523516 | MS. ANNETTE M LYNCH MSN, CNS Individual | Clinical Nurse Specialist (Perinatal) | 2500 METROHEALTH DR DEPARTMENT OF PEDIATRICS/PERINATAL CLEVELAND, OH 44109 (216) 778-7800 |
| 1427099183 | DR. KARL G WAGNER MD Individual | Anesthesiology | 2500 METROHEALTH DR DEPARTMENT OF ANESTHESIOLOGY CLEVELAND, OH 44109 (216) 778-4809 |
| 1760428155 | GRAHAM H CREASEY MD Individual | Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine) | 2500 METROHEALTH DR MHMC-PM&R CLEVELAND, OH 44109 (216) 778-8802 |
| 1508892290 | JAMES F QUILTY MD Individual | Pediatrics | 2500 METROHEALTH DR MHMC-PEDIATRICS CLEVELAND, OH 44109 (216) 778-5198 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316962467, enumerated in the NPI registry as an "individual" on July 12, 2006
The provider is located at 2500 Metrohealth Dr Cleveland, Oh 44109 and the phone number is (216) 778-7800
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Anthem. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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