LISA ABU-SAMRA (CNM) – Advanced Practice Midwife, NPI 1215479621
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LISA ABU-SAMRA (CNM)
17047 LA GRANGE RD
ORLAND PARK, IL 604877227
Phone: (815) 300-7764
Type: Location
1890 Silver Cross Blvd Ste 315
New Lenox, IL 604519605
Phone: (815) 300-7764
Type: Location
16421, 118th Place, Orland Township, Cook County, Illinois, 60467, United States
ORLAND PARK, IL 604674510
Phone: (708) 289-9889
Type: Mailing
1890, Silver Cross Boulevard, New Lenox, Will County, Illinois, 60451, United States
NEW LENOX, IL 604519524
Phone: (815) 717-6082
Type: Location
1890 SILVER CROSS BLVD STE 315
NEW LENOX, IL 604519605
Phone: (815) 300-7764
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $149.
Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Organon LLC ($75).
Total Amount
$149
General + Research + Ownership
Payments
7
Total payment records
General Amount
$149
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $75 |
| Exeltis, USA Inc. | $32 |
| Astellas Pharma US Inc | $22 |
| Hologic Sales and Service, LLC | $19 |
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: 2019-10-31
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 |
|---|---|---|---|---|
| I20191031000970 | I | Certified Nurse Midwife (Cnm) | IL | 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 60487)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL |
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