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Lisa Smith

Licensed Practical Nurse β€’ Marion, IL

Active NPI 1386182798 Individual Practitioner Female Practitioner
Practice location in NPPES

2401 W Main St
Marion, IL 629591188

Call 6189975311 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2401 W Main St

Marion, IL 629591188

Telephone 6189975311
Fax 6182428240
Organization at the Same NPPES Address or Phone
St. Louis Jc Vamc Facility NPI 1750349429

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Marion and Illinois

55 active clinicians are listed under Licensed Practical Nurse with a practice address in Marion, IL (870 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Marion

0% of these 55 clinicians have the CMS telehealth indicator.

0% of these 55 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-08
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES IL 043074883

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1023108180

MSNFNPC

Dr. Victoria Codispoti , MD

Psychiatry & Neurology - Psychiatry

NPI 1710925367

Doctor of Medicine (M.D.)

Dr. Casie Mosley , DO

Family Medicine

NPI 1104058106

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 08, 2022

Registered at 2401 W MAIN ST, MARION, IL 629591188 (Tel: 6189975311)

πŸ“
Updated Business Mailing Address December 08, 2022

Registered at 1505 E MAIN ST, WEST FRANKFORT, IL 628961602 (Tel: 7274529033)

βœ…
NPI Profile Active February 06, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 06, 2017

Registered at 415 HEALTH DEPARTMENT RD, MURPHYSBORO, IL 629666108 (Tel: 6186843143)

πŸ“
Business Mailing Address (Initial Record) February 06, 2017

Registered at 415 HEALTH DEPARTMENT RD, MURPHYSBORO, IL 629666108

πŸ‘€
Provider Name / Credentials (Initial Record) February 06, 2017

Recorded as LISA SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2017

Licensed Practical Nurse (license number reported to NPPES: IL 043074883)

🟒
Initial NPI Registration & Enumeration February 06, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386182798
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2017
Last Update: December 08, 2022
Sole Proprietor: No

Mailing Address

1505 E Main St

West Frankfort, IL 628961602

Phone: 7274529033

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.