LISA M SMITH NP
NPI 1295218238
Nurse Practitioner - Family in Joliet, IL

Active since September 14, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2025 S CHICAGO ST, JOLIET, IL 60436(815) 726-2200 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa M Smith Np NPPES

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

LISA M SMITH NP (NPI 1295218238) is an individual family provider in Joliet, Illinois, licensed in Illinois (209018093) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295218238
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA M SMITHCredential: NP
Location Address2025 S CHICAGO STJoliet, IL 60436-3172
Mailing Address1409 Edmonds AveNew Lenox, IL 60451-1896 · (708) 518-9280
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 14, 2018
NPI 1295218238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209018093
2025 S CHICAGO ST, Joliet, IL 60436

Accepted 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

Lisa M Smith Np 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 ID7012269251
PECOS Enrollment IDI20181016002428
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 6

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.

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.
159 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
34 services34 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
32 services32 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services19 patients

Hospital Affiliations CMS Care Compare

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

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60436 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Nurse Practitioner (Family)
2025 S CHICAGO ST
JOLIET, IL 60436
Pharmacy (Community/Retail Pharmacy)
2025 S CHICAGO ST
JOLIET, IL 60436
Pharmacy Technician
2025 S CHICAGO ST
JOLIET, IL 60436
Internal Medicine
2025 S CHICAGO ST
JOLIET, IL 60436
Internal Medicine
2025 S CHICAGO ST
JOLIET, IL 60436
Nurse Practitioner (Family)
2025 S CHICAGO ST
JOLIET, IL 60436
Nurse Practitioner (Family)
2025 S CHICAGO ST
JOLIET, IL 60436
Family Medicine
2025 S CHICAGO ST
JOLIET, IL 60436

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 Smith's NPI number?

The NPI number for Lisa Smith is 1295218238. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Where is Lisa Smith located?

Lisa Smith practices at 2025 S Chicago St, Joliet, IL 60436. The listed phone number is (815) 726-2200.

What is Lisa Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Smith enrolled in Medicare?

Yes. Lisa Smith 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 Lisa Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Lisa Smith 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 Lisa Smith affiliated with any hospitals?

According to CMS data, Lisa Smith is affiliated with Presence Saint Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Smith was last updated on September 14, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.