Lisa Lynn Hengen, DNP, APRN, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209022327 Issued in IL

Practice address

34121 N US Highway 45 Ste 210
Grayslake, IL 60030-1774

Phone

(224) 602-3472

Fax

(630) 358-6856

NPI assigned

Mar 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lisalynn, LLCGroup PAC ID 8628432895, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Lisalynn, LLC

  dba Green Pastures Mental Health services

  • Psychiatric/Mental Health Nurse Practitioner
  • Dubois, PA
  • NPI 1871268904
  Medicare reassignment Care Compare group NPD Authorized official
• Family Therapy Services Inc.

  • Community/Behavioral Health Agency
  • Brookville, PA
  • NPI 1942405576
  NPD (past)
• Psycare Inc

  dba TMS Center of West Virginia

  • Psychiatry Physician
  • South Charleston, WV
  • NPI 1144433459

  Psychiatric/Mental Health

  NPD (past)
• Scott CRNP Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaver, PA
  • NPI 1669063939
  NPD (past)

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

{
    "created_epoch": "1268438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1467776898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 TREASURE LK",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158019022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34121 N US HIGHWAY 45 STE 210",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301774",
            "telephone_number": "224-602-3472",
            "fax_number": "630-358-6856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Adams St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "PA",
            "postal_code": "150742102",
            "country_code": "US",
            "telephone_number": "724-888-2186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1809 DuPont Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261019704",
            "country_code": "US",
            "telephone_number": "304-917-3521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENGEN",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "credential": "DNP, APRN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-13",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010485",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "APRN99740",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024093",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209022327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031576690009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hartmann Healthcare, LLC (CareDiem Home Care of Gurnee)
• Aubrey Haughn, MD
• Victoria Ann Haynes, O.D.
• Healing Roots Trauma Therapy
• Donald John Hebel, MD
• Jenna Paige Henricks, MSW
• Lane Cooper Hepp, M.S. CCC-SLP
• Ana Victoria Hernandez
• Herstrength05/15 (Brina Auguste)
• David Richard Hertzberg, DDS, MS

• Psychiatric/Mental Health Nurse Practitioner in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.