Active NPI
Lisa E. Knuffman, CNP
- Nurse Practitioner
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209007581
- Practice address
- 3301 Broadway
Quincy, IL 62301 - Phone
- (217) 277-3500
- Fax
- (217) 221-4013
- NPI assigned
- May 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209007581 | IL | Primary |
Addresses
Primary practice location
3301 Broadway
Quincy, IL 62301
Mailing address
1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550
Other practice location 1
Broadway at 11th Street
Quincy, IL 62301
Phone (217) 222-6550
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550
Hospital & facility affiliations
- Blessing Hospital
- Illini Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Nurse Practitioner | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Past | Accepting new patients |
Locations
640 W Washington St
Pittsfield, IL 62363
Phone (217) 285-2113
1005 Broadway St
Quincy, IL 62301
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
3301 Broadway St
Quincy, IL 62301
Phone (217) 277-4070
Interoperability endpoints
- lknuffman198139@direct.unitypoint.org
Organizations & group practices 4
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.
-
- Clinic/Center
- Quincy, IL
- NPI 1548234198
-
- Durable Medical Equipment & Medical Supplies
- Pittsfield, IL
- NPI 1871794925
Nurse Practitioner
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Pharmacy
- Quincy, IL
- NPI 1417921560
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
- Critical Access Hospital
- Pittsfield, IL
- NPI 1720086218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1609000439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MAINE ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014038",
"telephone_number": "217-222-6550",
"fax_number": "217-277-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 BROADWAY",
"city": "QUINCY",
"state": "IL",
"postal_code": "62301",
"telephone_number": "217-277-3500",
"fax_number": "217-221-4013"
}
],
"practiceLocations": [
{
"address_1": "Broadway at 11th Street",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "62301",
"country_code": "US",
"telephone_number": "217-222-6550",
"fax_number": "217-277-2253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNUFFMAN",
"first_name": "LISA",
"middle_name": "E.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209007581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.