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LISA ANNE BANNISTER
NPI 1033825419
Nurse Practitioner - Women's Health in Joliet, IL

Active since January 27, 2023PECOS Enrolled
2400 GLENWOOD AVE STE 210, JOLIET, IL 60435(630) 473-8737 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Anne Bannister NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANNE BANNISTER (NPI 1033825419) is an individual women's health provider in Joliet, Illinois, licensed in Illinois (209.026405) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1033825419
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameLISA ANNE BANNISTER
Location Address2400 GLENWOOD AVE STE 210Joliet, IL 60435-5498
Mailing Address818 N Broad StGriffith, IN 46319-2231 · (219) 746-0764
Phone(630) 473-8737
Sole ProprietorNo
Enumeration DateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
✔ NPI 1033825419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in IL · 209.026405
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.360286 (IL)
2400 GLENWOOD AVE STE 210, Joliet, IL 60435
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1396 Remington Blvd Ste 230Bolingbrook, IL 60440-4304 · Phone (630) 389-1401
Location 2160 N Independence BlvdRomeoville, IL 60446-1803 · Phone (630) 389-1698
Location 3400 N Highland AveAurora, IL 60506-3814 · Phone (630) 389-1726

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Anne Bannister is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERNESTO TAN, M.D.S.C.
Urology
2400 GLENWOOD AVE STE 210
JOLIET, IL 60435
Will County (815) 741-1020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bannister's NPI number?

The NPI number for Lisa Bannister is 1033825419. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Where is Lisa Bannister located?

Lisa Bannister practices at 2400 Glenwood Ave Ste 210, Joliet, IL 60435. The listed phone number is (630) 473-8737.

What is Lisa Bannister's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Lisa Bannister enrolled in Medicare?

Yes. Lisa Bannister is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Bannister accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Lisa Bannister as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Bannister was last updated on January 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.