LISA ROXWORTHY APRN, CNP
NPI 1174209746
Nurse Practitioner in Dekalb, IL

Q: What is Lisa Roxworthy's NPI number?

The NPI number for Lisa Roxworthy is 1174209746. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Q: What is Lisa Roxworthy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Roxworthy was last updated on September 19, 2023. 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.

Active since June 27, 2023PECOS EnrolledAccepts Medicare Assignment

1 KISH HOSPITAL DR, DEKALB, IL 60115(815) 766-7334(815) 766-9768 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lisa Roxworthy Aprn, Cnp NPPES

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

LISA ROXWORTHY APRN, CNP (NPI 1174209746) is an individual nurse practitioner in Dekalb, Illinois, licensed in Illinois (209027677) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Alexian Brothers Medical Center 1, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174209746

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA ROXWORTHYCredential: APRN, CNP

Location Address1 KISH HOSPITAL DRDekalb, IL 60115-9602

Mailing Address1 Kish Hospital DrDekalb, IL 60115-9602 · (815) 766-7334 · Fax (815) 766-9768

Phone(815) 766-7334

Fax(815) 766-9768

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 27, 2023

Last NPPES UpdateSeptember 19, 2023

NPPES CertifiedSeptember 19, 2023

✔ NPI 1174209746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209027677

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1 KISH HOSPITAL DR, Dekalb, IL 60115

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Roxworthy Aprn, Cnp 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 ID6204282809

PECOS Enrollment IDI20231101003098

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.

Medicare Billing Reassignments

Medicare enrollment records show Lisa Roxworthy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cepamerica Illinois LLP

21 mi

Family Medicine

2000 MCDONALD RD
South Elgin, IL 60177

Reassigned Medicare billing, Illinois enrollment
982 clinicians in this Medicare group

NPI 1992081194 (224) 783-5000

Rockford Health Physicians

29 mi

Multi-Specialty

8201 E RIVERSIDE BLVD
Rockford, IL 61114

Reassigned Medicare billing, Illinois enrollment
1,375 clinicians in this Medicare group

NPI 1043242886 (608) 314-2428

Mercy Health System Corporation

53 mi

Multi-Specialty

580 N WASHINGTON ST
Janesville, WI 53548

Reassigned Medicare billing, Illinois enrollment
671 clinicians in this Medicare group

NPI 1598718603 (608) 741-7630

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

107 services103 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

86 services84 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60115 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

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