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LISA MARIE MASCIOLI APRN, CNP
NPI 1639627375
Nurse Practitioner in Dekalb, IL

Active since September 12, 2016PECOS Enrolled
385 WIRTZ DR, DEKALB, IL 60115(815) 306-2777(815) 306-2778 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2024, Feb 23, 2023, Sep 12, 2016 (3 updates tracked since 2016).

About Lisa Marie Mascioli Aprn, Cnp NPPES

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

LISA MARIE MASCIOLI APRN, CNP (NPI 1639627375) is an individual nurse practitioner in Dekalb, Illinois, licensed in Illinois (277002175) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Olney.

NPPES Registry Identity

NPI1639627375
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA MARIE MASCIOLICredential: APRN, CNP
Location Address385 WIRTZ DRDekalb, IL 60115-3067
Mailing Address385 Wirtz DrDekalb, IL 60115-3067 · (815) 306-2777 · Fax (815) 306-2778
Phone(815) 306-2777
Fax(815) 306-2778
Sole ProprietorNo
Enumeration DateSeptember 12, 2016
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1639627375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 277002175
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.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License APRN.CNP.019809 (OH), 277002175 (IL)
385 WIRTZ DR, Dekalb, IL 60115
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Secondary Practice Location 1

Location 11200 N East StOlney, IL 62450-2432 · Phone (618) 395-5222

Other Identifiers 1

Medicaid2846675OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Marie Mascioli Aprn, Cnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Mascioli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Dupage Physician Group
35 mi
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
NPI 1033149844 (630) 933-3300
Mental Health Specialty Group PA
669 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Illinois enrollment
  • 107 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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

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

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

ADAM CHAVEZ APRN, CNP
Nurse Practitioner
385 WIRTZ DR
DEKALB, IL 60115
Dekalb County (815) 306-2777

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 Mascioli's NPI number?

The NPI number for Lisa Mascioli is 1639627375. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Lisa Mascioli located?

Lisa Mascioli practices at 385 Wirtz Dr, Dekalb, IL 60115. The listed phone number is (815) 306-2777.

What is Lisa Mascioli's specialty?

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

Is Lisa Mascioli enrolled in Medicare?

Yes. Lisa Mascioli is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Mascioli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mascioli reassigns Medicare benefits to 2 organizations: Central Dupage Physician Group (Carol Stream, IL) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Mascioli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Mascioli accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Lisa Mascioli 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.

When was this NPI record last updated?

The NPPES record for Lisa Mascioli was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.