DR. LISA MARIE PETRONGELLI PSY.D, APRN-BC, FPA
NPI 1306281332
Nurse Practitioner - Psychiatric/Mental Health in Hoffman Estates, IL

Q: What is Lisa Petrongelli's NPI number?

The NPI number for Lisa Petrongelli is 1306281332. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Q: What is Lisa Petrongelli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Petrongelli was last updated on March 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 03, 2013PECOS Enrolled

1776 MOON LAKE BLVD, HOFFMAN ESTATES, IL 60169(847) 882-4181(847) 882-4299 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2026, Jul 20, 2021 (2 updates tracked since 2021).

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About Dr. Lisa Marie Petrongelli Psy.d, Aprn-bc, Fpa NPPES

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

DR. LISA MARIE PETRONGELLI PSY.D, APRN-BC, FPA (NPI 1306281332) is an individual psychiatric/mental health provider in Hoffman Estates, Illinois, licensed in Illinois (277000902) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306281332

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. LISA MARIE PETRONGELLICredential: PSY.D, APRN-BC, FPA

Location Address1776 MOON LAKE BLVDHoffman Estates, IL 60169-1010

Mailing Address1776 Moon Lake BlvdHoffman Estates, IL 60169-1010 · (847) 228-4181 · Fax (847) 882-4299

Phone(847) 882-4181

Fax(847) 882-4299

Sole ProprietorYes

Enumeration DateMay 3, 2013

Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1306281332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 277000902

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209004881 (IL)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 277000902 (IL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 277000902 (IL)

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 277000902 (IL)

1776 MOON LAKE BLVD, Hoffman Estates, IL 60169

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Marie Petrongelli Psy.d, Aprn-bc, Fpa 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 60169 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.