Lisa Christine Baranski
Individual provider Active NPI Physician Assistant · Murphysboro, IL
NPI 1609499615 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1609499615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085008553 (IL)
- Practice address
- 7 S Hospital Dr
Murphysboro, IL 62966-3333 - Phone
- (618) 519-9200
- Fax
- (618) 684-2748
- NPI assigned
- May 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 24
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Southern Illinois University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shawnee Health Service and Development Corp
Practice addresses (Care Compare)
1006 S Division St
Carterville, IL 62918-1539
Phone (618) 985-4841
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 942-2171
7 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 687-3418
Hospital & facility affiliations
- Memorial Hospital of Carbondale
- St Joseph Memorial Hospital
- Herrin Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211115002784 | IL | Practitioner - Physician Assistant | 6406245398 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.008553 | IL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Health Service and Development Corp | Current |
Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current |
Accepting new patients | |
| Shawnee Health Service and Development Corp | Current |
Accepting new patients | |
| Shawnee Health Service and Development Corp | Past | Accepting new patients | |
| Shawnee Health Service and Development Corp | Past | Accepting new patients |
Locations
405 W Jackson St
Carbondale, IL 62901
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
404 S Lewis Ln
Carbondale, IL 62901
Phone (618) 319-4076
1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841
405 Rushing Dr
Herrin, IL 62948
Phone (618) 993-3300
7 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 687-3418
502 W Saint Louis St
Ste 4
West Frankfort, IL 62896
Phone (618) 937-3400
Interoperability endpoints
- lbaranski24792@sih.direct-ci.com
- lisa.baranski.1@14668.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085.008553 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 085008553 | IL | Yes |
Addresses
Primary practice location
7 S Hospital Dr
Murphysboro, IL 62966-3333
Mailing address
109 California St
PO Box 577
Carterville, IL 62918-0577
Phone (618) 519-9200
Other practice location 1
405 Rushing Dr
Herrin, IL 62948-3730
Phone (618) 993-3300
Other practice location 2
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361
Other practice location 3
502 W Saint Louis St Ste 4
West Frankfort, IL 62896-1968
Phone (618) 937-3400
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbaranski24792@sih.direct-ci.com | ||
| Direct Messaging Address | lbaranski24792@sih.direct-ci.com | ||
| Direct Messaging Address | lbaranski24792@sih.direct-ci.com |
Other providers in Murphysboro, IL
- Donna Mae Ali
- Alternatives Counseling Inc.
- Robert Mede Andrews
- Jennifer Armstrong
- Jonathan Robert Ashton
- Julia Bates
- Evan Tep Belfer
- Frederick Gower Bierer
- Donna L Blache
- Dale W Blaise
All providers in Murphysboro, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.