Active NPI 1770643397 Individual Practitioner Female Practitioner

Lisa A. Larson , APRN

Nurse Practitioner • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Lisa Larson, APRN is a registered healthcare professional specializing in Nurse Practitioner in Rockford, IL. Practice services are available at 2601 N MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service);, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2601 N Main St

Rockford, IL 61103

Telephone 7796968350

Associated Practice Facility / Clinic

🏢 Innovamed Internal Medicine Specialists Sc Facility NPI 1699700229

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Rockford, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.7 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

130 Specialists

Practicing in Rockford, IL (4929 Statewide)

Telehealth Adoption Rate

13.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	41	$188.00	$64.42
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	47	36	$81.60	$24.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$529.80	$141.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	21	$271.60	$97.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	237	93	$179.15	$65.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	104	68	$258.65	$98.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	87	85	$504.55	$145.09
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	67	49	$80.00	$25.39
99497 Advance care planning, first 30 minutes	15	15	$130.70	$58.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	219	85	$244.00	$85.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	36	$169.00	$58.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	55	$476.00	$165.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	30	$325.00	$113.57
99497 Advance care planning, first 30 minutes	16	16	$93.50	$64.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	234	120	$154.00	$60.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	123	70	$222.00	$86.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	59	$295.00	$114.45
99221 Initial hospital inpatient care per day, typically 30 minutes	50	48	$218.00	$85.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	16	$111.00	$32.27
99497 Advance care planning, first 30 minutes	17	17	$85.00	$65.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$433.00	$168.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	37	$154.00	$62.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	48	$196.00	$90.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	17	$111.00	$33.95
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$132.00	$60.68
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$218.00	$88.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$295.00	$118.94
36415 Insertion of needle into vein for collection of blood sample	17	12	$18.00	$2.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	56	$154.00	$61.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	42	$196.00	$90.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	25	$111.00	$33.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	30	$222.00	$88.26
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$132.00	$61.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$295.00	$116.46
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$218.00	$86.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$433.00	$171.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	156	115	$111.00	$33.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	118	$196.00	$64.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	125	82	$154.00	$60.21
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	106	100	$67.00	$7.00
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$218.00	$85.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$295.00	$115.29
36415 Insertion of needle into vein for collection of blood sample	19	16	$18.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$132.00	$43.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	399	309	$196.00	$64.25
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	322	262	$67.00	$7.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	160	146	$111.00	$32.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	52	$154.00	$59.69
99213 Established patient office or other outpatient visit, typically 15 minutes	35	35	$132.00	$42.75
36415 Insertion of needle into vein for collection of blood sample	33	27	$18.00	$2.94

Medical Specialties & State Licenses

CMS Verified: 2021-03-12

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-000807

(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 - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License IL 041-273612

Definition to come...

Secondary Practice Locations

1401 E State St Fl 2

Rockford, IL 61104

Phone: 7796968050

1401 E State St Fl 2

Rockford, IL 61104

Phone: 7796968050

1401 E State St Fl 2

Rockford, IL 61104

Phone: 7796968050

1401 E State St Fl 2

Rockford, IL 61104

Phone: 7796968050

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Susan Deguide , MD

Internal Medicine

NPI 1609801224

Doctor of Medicine (M.D.)

Andrea Bowmar , APN, CNP

Nurse Practitioner - Family

NPI 1811382427

Advanced Practice Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2021

Nurse Practitioner (License #209-000807 in IL)

📍

Updated Practice Location October 02, 2019

Registered at 2601 N MAIN ST, ROCKFORD, IL 61103 (Tel: 7796968350)

📍

Updated Practice Location July 23, 2018

Registered at 1401 E STATE ST FL 2, ROCKFORD, IL 61104 (Tel: 7796968050)

📍

Updated Business Mailing Address July 23, 2018

Registered at PO BOX 78866, MILWAUKEE, WI 532788866 (Tel: 7796967150)

👤

Provider Name / Credentials Updated July 23, 2018

Recorded as LISA LARSON, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2018

Nurse Practitioner (License #041-273612 in IL)

✅

NPI Profile Active July 01, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2015

Registered at 1340 CHARLES ST, SUITE 300, ROCKFORD, IL 611042200 (Tel: 7796965888)

📍

Updated Business Mailing Address July 01, 2015

Registered at PO BOX 1567, ROCKFORD, IL 611100067

👤

Provider Name / Credentials Updated July 01, 2015

Recorded as LISA LARSON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2015

Nurse Practitioner (License #209-000807 in IL)

🟢

Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Lisa Larson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1770643397

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 12, 2006

Last Update: March 12, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 78866

Milwaukee, WI 532788866

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.