MS. LISA RENE RENO (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1306871538

MS. LISA RENE RENO (NURSE PRACTITIONER) is a healthcare provider. based in Belleville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 209004280 (IL). The NPI Number for MS. LISA RENE RENO (NURSE PRACTITIONER) is 1306871538

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA RENE RENO (NURSE PRACTITIONER)
NPI
1306871538
Phone
Not provided
Address
1244 FOX RIDGE CT
Enumeration Date
12 July 2006
Last Update Date
12 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6186073900
Graduation Year
2002 (24 years ago)
PAC ID
3779763743
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20110208000621
Address ID
IL622692988SH1418XSTXX302

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MS. LISA RENE RENO (NURSE PRACTITIONER)

  • 1244 FOX RIDGE CT

    BELLEVILLE, IL 622217966

    Phone:

    Type: Mailing

  • 100, Springfield Court, O'Fallon, Saint Clair County, Illinois, 62269, United States

    O FALLON, IL 622692495

    Phone: (618) 632-3565

    Fax: (618) 632-7693

    Type: Location

  • 1414 CROSS ST STE 210

    SHILOH, IL 622692988

    Phone: (618) 607-1260

    Fax: (618) 624-4865

    Type: Mailing

  • 100 Springfield Ct

    O Fallon, IL 622692495

    Phone: (618) 632-3565

    Fax: (618) 632-7693

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Novo Nordisk Inc ($95).

Total Amount

$172

General + Research + Ownership

Payments

11

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-02-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110208000621INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11162$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3939$0
99213Established patient office or other outpatient visit, 20-29 minutes3223$0
G0008Administration of influenza virus vaccine1818$0
90662Influenza vaccine split virus, preservative free1616$0
View full utilization report →

Insurance plans in this area (ZIP 62221)

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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: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH

Reviews

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Frequently asked questions

Where can patients find MS. LISA RENE RENO (NURSE PRACTITIONER)'s NPI?
You can confirm MS. LISA RENE RENO (NURSE PRACTITIONER) with NPI 1306871538; it appears in the national provider directory.
Does this profile mean MS. LISA RENE RENO (NURSE PRACTITIONER) is currently active?
Yes — MS. LISA RENE RENO (NURSE PRACTITIONER) appears active in the national provider directory.
Does MS. LISA RENE RENO (NURSE PRACTITIONER) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MS. LISA RENE RENO (NURSE PRACTITIONER). Clinical services aligned with this taxonomy classification.
Where does public data place MS. LISA RENE RENO (NURSE PRACTITIONER)?
The snapshot lists Belleville, Illinois for MS. LISA RENE RENO (NURSE PRACTITIONER); download NPPES for the complete set.
What if Belleville, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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