Ms. Lisa Annette Ellingwood
APRN, PMHNP-BC | Nurse Practitioner | 6+ years Exp
1802 S Mattis Ave, Champaign
Illinois, 61821-5923
217-365-2855
Ms. Lisa Annette Ellingwood is a Champaign, Illinois based nurse practitioner with 6 years of experience in Nurse Practitioner. 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 with specialization in Nurse Practitioner 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 Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | APRN, PMHNP-BC |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1802 S Mattis Ave, Champaign,
Illinois, 61821-5923 |
| Phone: | 217-365-2855 |
| Fax: | 217-365-2856 |
Professional Identification Codes:
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.