LISA MARIE FONTANINI
NPI 1922798701
Nurse Practitioner in Long Grove, IL

Q: What is Lisa Fontanini's NPI number?

The NPI number for Lisa Fontanini is 1922798701. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Q: What is Lisa Fontanini's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Fontanini was last updated on September 4, 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.

Active since May 15, 2023PECOS Enrolled

3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047(847) 719-2220(847) 719-2265 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, May 15, 2023 (2 updates tracked since 2023).

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About Lisa Marie Fontanini NPPES

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

LISA MARIE FONTANINI (NPI 1922798701) is an individual nurse practitioner in Long Grove, Illinois, licensed in Illinois (209.026950) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922798701

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA MARIE FONTANINI

Location Address3880 SALEM LAKE DR STE FLong Grove, IL 60047-5292

Mailing Address3880 Salem Lake Dr Ste FLong Grove, IL 60047-5292 · (847) 719-2220 · Fax (847) 719-2265

Phone(847) 719-2220

Fax(847) 719-2265

Sole ProprietorNo

Enumeration DateMay 15, 2023

Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1922798701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209.026950

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.

3880 SALEM LAKE DR STE F, Long Grove, IL 60047

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Other Identifiers 1

Medicaid209026950IL

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 Marie Fontanini 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 60047 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.

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.

HELEN E OKORIE NP

Nurse Practitioner (Adult Health)