Ms. Lisa Annette Ellingwood is a Champaign, Illinois based nurse practitioner with 5 years of experience in . She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Lisa Annette Ellingwood is 209.020407 for Psych/Mental Health in Illinois. Her current practice location is 1802 S Mattis Ave, Champaign. Patients can reach her at 217-365-2855 or can fax her at 217-365-2856. Ms. Lisa Annette Ellingwood is APRN, PMHNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1083255343. Ms. Lisa Annette Ellingwood has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Lisa Annette Ellingwood speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ms. Lisa Annette Ellingwood
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APRN, PMHNP-BC
Experience:
5+ years
Medical School Attended:
Other
Graduation Year:
2019
Accepts Medicare Assignment:
Yes
Practice Address:
1802 S Mattis Ave, Champaign, Illinois, 61821-5923
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1355777277
Enrollment ID:
I20200212000577
NPI Number:
1083255343
NPI Enumeration Date:
07 Oct, 2019
NPI Last Update On:
22 Apr, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Lisa Annette Ellingwood are as mentioned below.
License Number
Specialization
State
Status
209.020407
Psych/Mental Health
Illinois
Primary
041.385774
Registered Nurse
Illinois
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(140091)
Urbana, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Ms. Lisa Annette Ellingwood is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Carle Health Care Incorporated (3577515774)
792
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. Lisa Annette Ellingwood 1802 S. Mattis Ave, Champaign, Illinois
Zip:
61821
Phone Number:
217-365-2855
Fax Number:
217-365-2856
Patients can reach Ms. Lisa Annette Ellingwood at 1802 S Mattis Ave, Champaign, Illinois or can call to book an appointment on 217-365-2855.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.