LISA L HENDERSON
NPI 1801256813
Nurse Practitioner - Family in Springfield, IL

Active since March 03, 2016PECOS Enrolled
2239 E COOK ST, SPRINGFIELD, IL 62703(217) 788-2300(217) 788-2342 Get Directions Write a Review

NPPES record last updated: September 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa L Henderson NPPES

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

LISA L HENDERSON (NPI 1801256813) is an individual family provider in Springfield, Illinois, licensed in Illinois (209014399) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801256813
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA L HENDERSON
Location Address2239 E COOK STSpringfield, IL 62703-1944
Mailing Address2239 E Cook StSpringfield, IL 62703-1944 · (217) 788-2300 · Fax (217) 788-2342
Fax(217) 788-2342
Sole ProprietorNo
Enumeration DateMarch 3, 2016
Last NPPES UpdateSeptember 8, 2016
NPI 1801256813 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 · 209014399
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License 041206559 (IL)
2239 E COOK ST, Springfield, IL 62703

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa L Henderson 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 62703 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Nurse Practitioner (Family)
2239 E COOK ST
SPRINGFIELD, IL 62703
Nurse Practitioner (Family)
2239 E COOK ST
SPRINGFIELD, IL 62703
Dentist (General Practice)
2239 E COOK ST
SPRINGFIELD, IL 62703
Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Nurse Practitioner (Family)
2239 E COOK ST
SPRINGFIELD, IL 62703
Family Medicine
2239 E COOK ST
SPRINGFIELD, IL 62703

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 Henderson's NPI number?

The NPI number for Lisa Henderson is 1801256813. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Lisa Henderson located?

Lisa Henderson practices at 2239 E Cook St, Springfield, IL 62703. The listed phone number is (217) 788-2300.

What is Lisa Henderson's specialty?

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

Is Lisa Henderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Henderson was last updated on September 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.