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LISA ANN FISHBACK FNP-BC
NPI 1790490522
Nurse Practitioner - Family in Frankfort, IL

Active since January 17, 2023PECOS Enrolled
7626 W HICKORY CREEK DR, FRANKFORT, IL 60423(815) 212-4225 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 14, 2026, Jan 17, 2023 (2 updates tracked since 2023).

About Lisa Ann Fishback Fnp-bc NPPES

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

LISA ANN FISHBACK FNP-BC (NPI 1790490522) is an individual family provider in Frankfort, Illinois, licensed in Illinois (209026609) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790490522
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA ANN FISHBACKCredential: FNP-BC
Location Address7626 W HICKORY CREEK DRFrankfort, IL 60423-9095
Mailing Address7626 W Hickory Creek DrFrankfort, IL 60423-9095 · (815) 212-4225
Phone(815) 212-4225
Sole ProprietorYes
Enumeration DateJanuary 17, 2023
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1790490522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209026609
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209026609 (IL)
7626 W HICKORY CREEK DR, Frankfort, IL 60423
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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 Ann Fishback Fnp-bc 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 Reassignment

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

Signify Health Medical Associates, PLLC
773 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 60423 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Fishback's NPI number?

The NPI number for Lisa Fishback is 1790490522. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Where is Lisa Fishback located?

Lisa Fishback practices at 7626 W Hickory Creek Dr, Frankfort, IL 60423. The listed phone number is (815) 212-4225.

What is Lisa Fishback's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Fishback enrolled in Medicare?

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

Which organization bills Medicare for Lisa Fishback's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Fishback reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Fishback's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Fishback accept?

Health plans from CareSource (Common Ground Healthcare) list Lisa Fishback 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 Fishback was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.