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LISA MARIE MEREDITH APN
NPI 1730075359
Nurse Practitioner - Psychiatric/Mental Health in Granite City, IL

Active since June 18, 2025PECOS Enrolled
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040(618) 877-4420 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Marie Meredith Apn NPPES

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

LISA MARIE MEREDITH APN (NPI 1730075359) is an individual psychiatric/mental health provider in Granite City, Illinois, licensed in Illinois (209.032511) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1730075359
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA MARIE MEREDITHCredential: APN
Location Address50 NORTHGATE INDUSTRIAL DRGranite City, IL 62040-6805
Mailing Address1003 Martin Luther King DrBloomington, IL 61701-1429 · (888) 924-3748
Phone(618) 877-4420
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1730075359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.032511
50 NORTHGATE INDUSTRIAL DR, Granite City, IL 62040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica 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 Meredith Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032610571
PECOS Enrollment IDI20250827003855
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 Reassignment

Medicare enrollment records show Lisa Meredith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chestnut Health Systems Inc.
8.1 mi
Mental Health (Including Community Mental Health Center)
337 E FERGUSON AVE
Wood River, IL 62095
  • Reassigned Medicare billing, Illinois enrollment
  • 90 clinicians in this Medicare group
NPI 1235941311 (618) 877-4420

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 62040 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 20

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

KRISTLE KAPP LCPC
Counselor (Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
JILLIAN MCCAMMACK LPC
Counselor
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
MS. STACY R DIERKS BA, CADC
Counselor (Addiction (Substance Use Disorder))
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
MR. JAMES AARON SHULTZ
Counselor (Addiction (Substance Use Disorder))
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
MS. PATRICIA ANN NORTHCUTT LCSW
Social Worker (Clinical)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
DR. JAIME ANN CAMPBELL DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 512-1919
LAINIE JOY BARRON
Counselor (Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420
TERRI MILTON LPC
Counselor (Mental Health)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040
Madison County (618) 877-4420

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 Meredith's NPI number?

The NPI number for Lisa Meredith is 1730075359. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Lisa Meredith located?

Lisa Meredith practices at 50 Northgate Industrial Dr, Granite City, IL 62040. The listed phone number is (618) 877-4420.

What is Lisa Meredith's specialty?

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

Is Lisa Meredith enrolled in Medicare?

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

Which organization bills Medicare for Lisa Meredith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Meredith reassigns Medicare benefits to Chestnut Health Systems Inc. (Wood River, IL). The 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 Meredith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Meredith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Medica, Oscar Health and UnitedHealthcare list Lisa Meredith 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 Meredith was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.