Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639627375 Individual Practitioner Female Practitioner

Lisa Marie Mascioli , APRN, CNP

Nurse Practitioner • Dekalb, IL

Professional Overview & Biography Verified Profile Summary

Lisa Mascioli, APRN, CNP is a registered healthcare professional specializing in Nurse Practitioner in Dekalb, IL. Practice services are available at 385 WIRTZ DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

385 Wirtz Dr

Dekalb, IL 601153067

Telephone 8153062777
Fax 8153062778

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dekalb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
32 Specialists

Practicing in Dekalb, IL (4929 Statewide)

Telehealth Adoption Rate
28.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 277002175

(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.

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License OH APRN.CNP.019809

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License IL 277002175

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2846675 (OH)

Secondary Practice Locations

1200 N East St

Olney, IL 624502432

Phone: 6183955222

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1407018484

Doctor of Osteopathic Medicine (D.O.)

Adam Chavez , APRN, CNP

Nurse Practitioner

NPI 1528513066

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location February 09, 2024

Registered at 385 WIRTZ DR, DEKALB, IL 601153067 (Tel: 8153062777)

📍
Updated Business Mailing Address February 09, 2024

Registered at 385 WIRTZ DR, DEKALB, IL 601153067 (Tel: 8153062777)

👤
Provider Name / Credentials Updated February 09, 2024

Recorded as LISA MASCIOLI, APRN, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2024

Nurse Practitioner (License #APRN.CNP.019809 in OH)

📍
Updated Practice Location February 23, 2023

Registered at 1200 N EAST ST, OLNEY, IL 624502432 (Tel: 6183955222)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2023

Nurse Practitioner (License #277002175 in IL)

NPI Profile Active September 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2016

Registered at 495 E MAIN ST, COLUMBUS, OH 432155349 (Tel: 6143558005)

📍
Updated Business Mailing Address September 12, 2016

Registered at DEPT 781625, P.O. BOX 78000, DETROIT, MI 482781625 (Tel: 6143558004)

👤
Provider Name / Credentials Updated September 12, 2016

Recorded as LISA MASCIOLI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2016

Nurse Practitioner (License #APRN.CNP.019809 in OH)

🟢
Initial NPI Registration & Enumeration September 12, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639627375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2016
Last Update: February 09, 2024
Sole Proprietor: No

Mailing Address

385 Wirtz Dr

Dekalb, IL 601153067

Phone: 8153062777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.