LISA FRIEBOHLE
NPI 1629466743
Nurse Practitioner - Adult Health in Peoria Heights, IL

Q: What is Lisa Friebohle's NPI number?

The NPI number for Lisa Friebohle is 1629466743. It was assigned to this individual provider in the NPPES registry on December 23, 2014.

Q: What is Lisa Friebohle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Friebohle was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 December 23, 2014PECOS EnrolledAccepts Medicare Assignment

1120 E WAR MEMORIAL DR, PEORIA HEIGHTS, IL 61616(309) 685-4411(309) 685-3648 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lisa Friebohle NPPES

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

LISA FRIEBOHLE (NPI 1629466743) is an individual adult health provider in Peoria Heights, Illinois, licensed in Illinois (277001893) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629466743

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameLISA FRIEBOHLE

Location Address1120 E WAR MEMORIAL DRPeoria Heights, IL 61616-7757

Mailing Address1120 E War Memorial DrPeoria Heights, IL 61616-7757 · (309) 685-4411 · Fax (309) 685-3648

Phone(309) 685-4411

Fax(309) 685-3648

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateDecember 23, 2014

Last NPPES UpdateJanuary 6, 2025

NPPES CertifiedJanuary 6, 2025

✔ NPI 1629466743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IL · 277001893

1120 E WAR MEMORIAL DR, Peoria Heights, IL 61616

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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

Lisa Friebohle 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 ID5799001624

PECOS Enrollment IDI20150311001672

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

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 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.

40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61616 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 9

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

DR. JUMUNA PATEL MD

Family Medicine