LIESEL RATLIFF – Family Nurse Practitioner, NPI 1134755390

LIESEL RATLIFF is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209.019948 (IL). The NPI Number for LIESEL RATLIFF is 1134755390

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LIESEL RATLIFF
NPI
1134755390
Phone
(309) 370-4845
Address
2000 W LUNT AVE
Enumeration Date
19 March 2020
Last Update Date
19 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8725883000
Graduation Year
2019 (7 years ago)
PAC ID
8820405707
Group Practice PAC ID
2264336346
Professional Enrollment ID
I20210319000988
Address ID
IL606232460CH3860XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for LIESEL RATLIFF

  • 2000 W LUNT AVE

    CHICAGO, IL 606453520

    Phone: (309) 370-4845

    Type: Mailing

  • 948 N DAMEN AVE

    CHICAGO, IL 606224910

    Phone: (773) 276-2655

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-03-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210319000988INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 60645)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264336346View full group profile
NameSpecialtyState
Family PracticeIL
-IL
Family PracticeIL
Clinical PsychologistIL
Family PracticeIL
Physician AssistantIL
-IL
Clinical PsychologistIL
Internal MedicineIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How is LIESEL RATLIFF identified in CMS data?
CMS-hosted NPPES data lists LIESEL RATLIFF with NPI 1134755390.
Is LIESEL RATLIFF still practicing?
LIESEL RATLIFF is currently listed as active in the public NPI registry.
What is LIESEL RATLIFF's primary classification?
Family Nurse Practitioner is the headline specialty for LIESEL RATLIFF here. Clinical services aligned with this taxonomy classification.
Does LIESEL RATLIFF list a practice location?
Patients near Chicago, Illinois may find LIESEL RATLIFF in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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