DAVID C LISS (NP) – Family Nurse Practitioner, NPI 1659713139

DAVID C LISS (NP) is a healthcare provider. based in Monticello, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209010528 (IL). The NPI Number for DAVID C LISS (NP) is 1659713139

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DAVID C LISS (NP)
NPI
1659713139
Phone
(217) 762-6241
Address
1000 MEDICAL CENTER DR
Enumeration Date
24 July 2013
Last Update Date
11 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
5698919256
Group Practice PAC ID
6901791144
Professional Enrollment ID
I20130920000467
Address ID
IL618562116Mo1000XDRXX400

Contacts

Secure Messaging
dliss@kmc.kirbymedicalcenter.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for DAVID C LISS (NP)

  • 1000 MEDICAL CENTER DR

    MONTICELLO, IL 618562116

    Phone: (217) 762-6241

    Fax: (217) 762-1702

    Type: Mailing

  • 2 Sage Crossing Blvd Ste A

    Monticello, IL 618564202

    Phone: (217) 817-8517

    Fax: (217) 817-8516

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Amgen Inc. ($31).

Total Amount

$142

General + Research + Ownership

Payments

8

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

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: 2013-09-20

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
I20130920000467INurse 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 61856)

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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: 6901791144View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)IL
Vascular Surgery, General SurgeryIL
Nurse PractitionerIL
Physician AssistantIL
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIL
Diagnostic RadiologyIL
Diagnostic RadiologyIL
Certified Registered Nurse Anesthetist (Crna)IL
Emergency MedicineIL

Reviews

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Frequently asked questions

How do payers reference DAVID C LISS (NP)?
For DAVID C LISS (NP), use NPI 1659713139 as the unique 10-digit identifier.
Would DAVID C LISS (NP) appear as active to a payer?
You can treat DAVID C LISS (NP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DAVID C LISS (NP)?
DAVID C LISS (NP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DAVID C LISS (NP)?
Travel planning: use Monticello, Illinois as the reference point for DAVID C LISS (NP), then confirm.
When was this NPI issued?
Enumeration for DAVID C LISS (NP) is noted as July 24, 2013 where the registry provides it.

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