Individual provider Active NPI

Lisa Trevino, APN

  • Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1467090308
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.020597 Issued in IL
Practice address
301 Madison St Ste 240
Joliet, IL 60435-6549
Phone
(815) 740-1900
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.020597 IL Primary

Addresses

Primary practice location

301 Madison St Ste 240
Joliet, IL 60435-6549

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 469-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200220001803 IL Practitioner - Nurse Practitioner 5294162814 Reassigns benefits to 4 organizations
I20241114000474 KY Practitioner - Nurse Practitioner 5294162814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hansa Medical Groupe PLLCGroup PAC ID 5092881417, 40 clinicians

Practice addresses (Care Compare)

5250 Old Orchard Rd
Suite 300
Skokie, IL 60077-4462
Phone (847) 920-0902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.020597ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonycares Complete Health Services, PLLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Vpa PC CurrentSince Jul 28, 2024 Accepting new patients
Vpa PC Family CurrentSince Sep 18, 2024 Accepting new patients
Dupage Medical Group LTD CurrentSince Mar 2, 2020 Accepting new patients
Dupage Medical Group LTD CurrentSince Mar 2, 2020 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince Dec 1, 2025 Accepting new patients
Haveric Medical LTD CurrentSince May 10, 2021 Accepting new patients
Cira Michigan PC Past Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

301 Madison St
Ste 240
Joliet, IL 60435

301 Madison St
Joliet, IL 60435
Phone (815) 725-6331

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

521 E 86th Ave
Ste Z
Merrillville, IN 46410
Phone (219) 769-0777

2452 Sir Barton Way
Ste 303
Lexington, KY 40509
Phone (859) 340-3233

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1467090308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MADISON ST STE 240",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356549",
            "telephone_number": "815-740-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "LISA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.020597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.