LISA JANE WISNIEWSKI (NP) – Family Nurse Practitioner, NPI 1518799063

LISA JANE WISNIEWSKI (NP) is a healthcare provider. based in Des plaines, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209030265 (IL). The NPI Number for LISA JANE WISNIEWSKI (NP) is 1518799063

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
LISA JANE WISNIEWSKI (NP)
NPI
1518799063
Phone
Not provided
Address
900 RAND RD STE 120
Enumeration Date
14 August 2024
Last Update Date
19 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3127673244
Graduation Year
2024 (2 years ago)
PAC ID
0143753798
Group Practice PAC ID
2769830389
Professional Enrollment ID
I20241104003237
Address ID
IL600162359DE900XXRDXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for LISA JANE WISNIEWSKI (NP)

  • 900 RAND RD STE 120

    DES PLAINES, IL 600162359

    Phone:

    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 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Surmodics, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Surmodics, Inc.$17
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: 2024-11-04

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
I20241104003237INurse 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 60016)

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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: 2769830389View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMI
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
G A S T R O E N T E R O L O G YIN
Gastroenterology, Internal MedicineIL
Internal Medicine, GastroenterologyIL
G A S T R O E N T E R O L O G YIL

Reviews

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Frequently asked questions

What unique ID ties claims to LISA JANE WISNIEWSKI (NP)?
NPI 1518799063 is assigned to LISA JANE WISNIEWSKI (NP) under the national enumeration system.
Does this profile mean LISA JANE WISNIEWSKI (NP) is currently active?
Yes — LISA JANE WISNIEWSKI (NP) appears active in the national provider directory.
What does LISA JANE WISNIEWSKI (NP) treat or focus on?
Patients typically see LISA JANE WISNIEWSKI (NP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for LISA JANE WISNIEWSKI (NP)?
The page summarizes Des Plaines, Illinois for LISA JANE WISNIEWSKI (NP); expand the address list for detail.
What if Des Plaines, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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