Individual provider Active NPI

Elizabeth Lambdin, FNP-BC

  • Family Nurse Practitioner
  • Forsyth, IL
National Provider Identifier
1467179986
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.025903 Issued in IL
Practice address
767 Schroll CT
Forsyth, IL 62535-9600
Phone
(217) 855-2173
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.025903 IL Primary

Addresses

Primary practice location

767 Schroll CT
Forsyth, IL 62535-9600

Mailing address

767 Schroll CT
Forsyth, IL 62535-9600
Phone (217) 855-2173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221123002607 IL Practitioner - Nurse Practitioner 7618345554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vero Clinics IncGroup PAC ID 7416351275, 4 clinicians

Practice addresses (Care Compare)

550 Southland Dr
Decatur, IL 62521-4080
Phone (217) 615-1144

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.025903ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vero Clinics Inc CurrentSince Sep 5, 2023 Accepting new patients

Locations

550 Southland Dr
Decatur, IL 62521
Phone (217) 615-1144

1192 E Pershing Rd
Decatur, IL 62526
Phone (217) 615-1144

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1467179986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 SCHROLL CT",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625359600",
            "telephone_number": "217-855-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 SCHROLL CT",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625359600",
            "telephone_number": "217-855-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBDIN",
        "first_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.025903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forsyth, IL

Sources for this page

Verify at the official NPI Registry.