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MRS. SUSAN LYNN LAMONICA APRN
NPI 1104568369
Registered Nurse - Psychiatric/Mental Health in Effingham, IL

Active since April 08, 2022PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
900 W TEMPLE AVE STE 1500, EFFINGHAM, IL 62401(217) 347-0458 Get Directions Write a Review

NPPES record last updated: August 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2022, Apr 8, 2022 (2 updates tracked since 2022).

About Mrs. Susan Lynn Lamonica Aprn NPPES

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

MRS. SUSAN LYNN LAMONICA APRN (NPI 1104568369) is an individual psychiatric/mental health provider in Effingham, Illinois, licensed in Illinois (041315090) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104568369
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMRS. SUSAN LYNN LAMONICACredential: APRN
Location Address900 W TEMPLE AVE STE 1500Effingham, IL 62401-2121
Mailing Address900 W Temple Ave Ste 1500Effingham, IL 62401-2121 · (217) 347-0458
Phone(217) 347-0458
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 8, 2022
Last NPPES UpdateAugust 21, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1104568369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in IL · 041315090
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 209025282 (IL)
900 W TEMPLE AVE STE 1500, Effingham, IL 62401
Open in Google Maps ↗

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 and accepts Medicare assignment

Mrs. Susan Lynn Lamonica Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254713852
PECOS Enrollment IDI20220728002945
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
25 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

STEPHANIE D JACKSON APRN
Nurse Practitioner (Family)
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Effingham County (217) 347-0458
CHANCIE WARREN PMHNP
Nurse Practitioner
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Effingham County (217) 347-0458
HSHS MEDICAL GROUP INC
Clinic/Center (Rural Health)
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Effingham County (217) 347-0458
ANDREW POULOS MD
Family Medicine
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Effingham County (217) 347-0458
LAUREN LUSTIG
Nurse Practitioner
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Effingham County (217) 347-0458

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 Susan Lamonica's NPI number?

The NPI number for Susan Lamonica is 1104568369. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Susan Lamonica located?

Susan Lamonica practices at 900 W Temple Ave Ste 1500, Effingham, IL 62401. The listed phone number is (217) 347-0458.

What is Susan Lamonica's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Susan Lamonica enrolled in Medicare?

Yes. Susan Lamonica is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Lamonica accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Susan Lamonica 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.

Is Susan Lamonica affiliated with any hospitals?

According to CMS data, Susan Lamonica is affiliated with St Anthonys Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Susan Lamonica was last updated on August 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.