LISA STANEK (APRN) – Family Nurse Practitioner, NPI 1689307126

Family Nurse Practitioner

LISA STANEK (APRN) is a healthcare provider. based in Ottawa, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 041.438251 (IL). The NPI Number for LISA STANEK (APRN) is 1689307126

Main info

Female

2 Years Of Experience

Accepts Medicare Assignment

Name

LISA STANEK (APRN)

NPI

1689307126

Phone

(815) 431-3410

Address

2911 Columbus St

Enumeration Date

1 July 2022

Last Update Date

11 October 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3096835050

Graduation Year

2024 (2 years ago)

PAC ID

6305386632

Group Practice PAC ID

3678889789

Professional Enrollment ID

I20240912002747

Address ID

IL616157829PE8600X91XX401

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience44

Completeness75

Years active:3State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for LISA STANEK (APRN)

2911 Columbus St
Ottawa, IL 613501009
Phone: (815) 431-3410
Type: Location
1715 N Division St
Morris, IL 604503100
Phone: (815) 431-3410
Type: Location
842 THORNBERRY DR
OTTAWA, IL 613504269
Phone: (309) 531-4029
Type: Mailing
4300 MBL DR
OTTAWA, IL 613509356
Phone: (815) 431-3848
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-09-12

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

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
I20240912002747	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.

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 61350)

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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: 3678889789View full group profile

Name	Specialty	State
MR. RYAN EUGENE PARNHAM (NP-C)	Nurse Practitioner	IL
KARA KAYE SHARPF (RN, MSN, FNP-BC)	-	IL
DR. RAYAN ABDO ELKATTAH (M.D.)	-	TN
MELISSA HAJOSTEK (APN)	-	IL
MRS. JESSICA SCOT GAY (MSN, APRN, FNP-BC)	-	IL
MRS. SUSAN E. JORDAN (APN)	-	IL
CHRISTINE L KAGE-WILLIS (LDN)	-	IL
MRS. MORGAN ELIZABETH HARRIS (CNP)	-	IL
MR. BLESSING KUDAKWASHE TUPIRI (PA)	Physician Assistant	MO
PHILIP A FIFIELD (M.D.)	-	IL