LISA MARIE STARWALT
NPI 1841170966
Nurse Practitioner - Family in Salem, IL

Active since September 08, 2025PECOS EnrolledAccepts Medicare Assignment
1201 RICKER RD, SALEM, IL 62881(618) 548-3194 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lisa Marie Starwalt NPPES

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

LISA MARIE STARWALT (NPI 1841170966) is an individual family provider in Salem, Illinois, licensed in Illinois (209.033061) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Salem Township Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1841170966
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MARIE STARWALT
Location Address1201 RICKER RDSalem, IL 62881-4263
Mailing Address1201 Ricker RdSalem, IL 62881-4263 · (618) 548-3194
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
NPI 1841170966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.033061

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 Marie Starwalt 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 ID840786570
PECOS Enrollment IDI20260102000748
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Salem Township Hospital

Critical Access Hospitals · Salem, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number141345
Location1201 Ricker DriveSalem, IL 62881 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62881 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 20

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

Family Medicine
1201 RICKER RD
SALEM, IL 62881
Emergency Medicine
1201 RICKER RD
SALEM, IL 62881
Nurse Practitioner (Family)
1201 RICKER RD
SALEM, IL 62881
Nurse Practitioner (Psychiatric/Mental Health)
1201 RICKER RD
SALEM, IL 62881
Physical Therapist
1201 RICKER RD
SALEM, IL 62881
Registered Nurse
1201 RICKER RD
SALEM, IL 62881
Physical Therapist
1201 RICKER RD
SALEM, IL 62881
Occupational Therapist
1201 RICKER RD
SALEM, IL 62881

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 Starwalt's NPI number?

The NPI number for Lisa Starwalt is 1841170966. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Lisa Starwalt located?

Lisa Starwalt practices at 1201 Ricker Rd, Salem, IL 62881. The listed phone number is (618) 548-3194.

What is Lisa Starwalt's specialty?

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

Is Lisa Starwalt enrolled in Medicare?

Yes. Lisa Starwalt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lisa Starwalt affiliated with any hospitals?

According to CMS data, Lisa Starwalt is affiliated with Salem Township Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Starwalt was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.