LISA R. JACKSON (N.P.) – Nurse Practitioner, NPI 1316980766
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for LISA R. JACKSON (N.P.)
Pepper Road, Lake Barrington, Cuba, Lake County, Illinois, 60010, United States
SUITE 401
LAKE BARRINGTON, IL 600102538
Phone: (847) 882-6604
Fax: (847) 882-6228
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 212 Open Payments records for all available years, with a total value of $13,719.
Total Amount is formed as General ($13,719) + Research ($0) + Ownership ($0) = $13,719.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: TG Therapeutics, Inc. ($7,675).
Total Amount
$13,719
General + Research + Ownership
Payments
212
Total payment records
General Amount
$13,719
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TG Therapeutics, Inc. | $7,675 |
| Horizon Therapeutics plc | $2,201 |
| Biogen, Inc. | $679 |
| ABBVIE INC. | $563 |
| PFIZER INC. | $375 |
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: 2006-06-15
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 |
|---|---|---|---|---|
| I20060615000057 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 79 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 60 | 58 | $0 |
| 11105 | Punch biopsy, each additional skin growth | 31 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 25 | $0 |
| 11104 | Punch biopsy, first skin growth | 16 | 16 | $0 |
Insurance plans in this area (ZIP 60010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | IL | |
| Neurology, Sleep Medicine | IL | |
| N E U R O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Physician Assistant | OH | |
| N E U R O L O G Y | IL | |
| Neurology, Sleep Medicine | IL | |
| Nurse Practitioner | IL | |
| N E U R O L O G Y | IL | |
| Physician Assistant | IL |
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