MRS. LISA JOI OETJEN (APRN, FNP-C) – Family Nurse Practitioner, NPI 1003181132
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. LISA JOI OETJEN (APRN, FNP-C)
510 LINCOLN DR
HERRIN, IL 629486334
Phone: (618) 997-6800
Fax: (618) 997-1187
Type: Mailing
4787 ALBEN BARKLEY DR
PADUCAH, KY 420016789
Phone: (270) 442-9461
Fax: (270) 441-0079
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,129.
Total Amount is formed as General ($1,129) + Research ($0) + Ownership ($0) = $1,129.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Amgen Inc. ($194).
Total Amount
$1,129
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,129
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $194 |
| SI-BONE, INC. | $129 |
| Neurelis, Inc. | $126 |
| Abbott Laboratories | $120 |
| Sumitomo Pharma America, Inc. | $120 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-08-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120808000887 | I | Nurse Practitioner | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62948)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | KY | 73630 | X-ray of foot, minimum of 3 views | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Family Practice | KY | |
| Family Practice | KY | |
| Internal Medicine | IN | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Nurse Practitioner | OH | |
| Diagnostic Radiology | KY |
Reviews
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