LISA MARIE TAYLOR (APN) – Nurse Practitioner, NPI 1174914246
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for LISA MARIE TAYLOR (APN)
5201 WILLOW SPRINGS RD
STE 290
LA GRANGE, IL 605256506
Phone: (708) 579-0018
Type: Mailing
PO BOX 3810
JOPLIN, MO 648033810
Phone:
Type: Mailing
3105 MC CLELLAND BLVD
JOPLIN, MO 648041640
Phone: (417) 347-5400
Fax: (417) 347-5709
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $1,960.
Total Amount is formed as General ($1,960) + Research ($0) + Ownership ($0) = $1,960.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Smith+Nephew, Inc. ($667).
Total Amount
$1,960
General + Research + Ownership
Payments
44
Total payment records
General Amount
$1,960
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $667 |
| Organogenesis Inc. | $528 |
| Kerecis Limited | $337 |
| Solventum Corporation | $151 |
| MIMEDX Group, Inc. | $123 |
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: 2025-06-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150317001921 | I | Nurse Practitioner | IL | TBD |
| I20250602000392 | I | Nurse Practitioner | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 264 | 68 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 199 | 56 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 182 | 75 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 174 | 20 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 109 | 44 | $0 |
Insurance plans in this area (ZIP 60525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Family Practice, Emergency Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Orthopedic Surgery | IL | |
| Nurse Practitioner | IL | |
| Otolaryngology, Allergy/Immunology | IL | |
| Family Practice | IL |
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