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MS. CATHY DIANE LISENBY PA-C
NPI 1346356524
Physician Assistant in Mount Vernon, IL

Active since August 21, 2006PECOS Enrolled
2 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(618) 899-4000(618) 899-4790 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Cathy Diane Lisenby Pa-c NPPES

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

MS. CATHY DIANE LISENBY PA-C (NPI 1346356524) is an individual physician assistant in Mount Vernon, Illinois, licensed in Illinois (0850001397) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346356524
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. CATHY DIANE LISENBYCredential: PA-C
Location Address2 GOOD SAMARITAN WAYMount Vernon, IL 62864-2408
Mailing Address5100 Lake Ter Ne Ste WcMount Vernon, IL 62864-9665 · (618) 899-5001 · Fax (618) 242-5152
Phone(618) 899-4000
Fax(618) 899-4790
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
✔ NPI 1346356524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 0850001397
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2 GOOD SAMARITAN WAY, Mount Vernon, IL 62864
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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)

Ms. Cathy Diane Lisenby Pa-c 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 62864 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS, LLC
Psychiatry & Neurology (Sleep Medicine)
2 GOOD SAMARITAN WAY, SUITE 400
MOUNT VERNON, IL 62864
Jefferson County (618) 241-1869
JONATHAN L SORENSON CRNA
Nurse Anesthetist, Certified Registered
2 GOOD SAMARITAN WAY, SUITE 205
MOUNT VERNON, IL 62864
Jefferson County (618) 241-1108
DANIEL HOFFMAN MD
Internal Medicine
2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4000
DR. PRATEEK SRINET M.D.
Otolaryngology
2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4000
MR. STEVEN J CLARK MD
Surgery (Plastic and Reconstructive Surgery)
2 GOOD SAMARITAN WAY, SUITE 235
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3980
MRS. DEBBIE JANE BENDERSKY RPH
Pharmacist
2 GOOD SAMARITAN WAY, SUITE 120
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4999
DR. ISMAT CHEEMA DO
Internal Medicine
2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3607
MARY K MCGARVEY COTA
Occupational Therapy Assistant
2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 899-2400

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 Cathy Lisenby's NPI number?

The NPI number for Cathy Lisenby is 1346356524. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Cathy Lisenby located?

Cathy Lisenby practices at 2 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (618) 899-4000.

What is Cathy Lisenby's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cathy Lisenby enrolled in Medicare?

Yes. Cathy Lisenby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cathy Lisenby was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.