Individual provider Active NPI

Lyndell L Lomax, CNP

  • Nurse Practitioner
  • Pittsfield, IL
National Provider Identifier
1639560410
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209012635 Issued in IL
Practice address
640 W Washington St
Pittsfield, IL 62363-1350
Phone
(217) 285-2113
NPI assigned
Feb 14, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 209012635 IL Primary

Addresses

Primary practice location

640 W Washington St
Pittsfield, IL 62363-1350

Mailing address

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

Other practice location 1

1118 Hampshire St
Quincy, IL 62301-3027
Phone (217) 222-6550

Other practice location 2

1118 Hampshire St
Quincy, IL 62301-3027
Phone (217) 222-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, MO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150331002608 IL Practitioner - Nurse Practitioner 5890012843 Reassigns benefits to 5 organizations
I20160914002424 IA Practitioner - Nurse Practitioner 5890012843 Reassigns benefits to 1 organization
I20250317002796 MO Practitioner - Nurse Practitioner 5890012843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, shared by 21 NPIs, 414 clinicians

Practice addresses (Care Compare)

154 Forrest Dr
Hannibal, MO 63401-5511
Phone (573) 221-2120

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC CurrentSince Jul 1, 2016 Accepting new patients
Blessing Hospital Current Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Mark Twain Association for Mental Health, Inc CurrentSince Feb 20, 2025 Accepting new patients
Blessing Hospital CurrentSince Jun 24, 2022 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Blessing Hospital CurrentSince Mar 15, 2020 Accepting new patients
Mark Twain Association for Mental Health, Inc. CurrentSince Feb 20, 2025 Accepting new patients
Blessingcare Corporation CurrentSince Aug 31, 2025 Accepting new patients
Blessingcare Corporation Current Accepting new patients
Cogent Healthcare of Iowa, PC Nurse Practitioner CurrentSince Aug 16, 2016 Accepting new patients
Blessingcare Corporation CurrentSince Jan 1, 2018 Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

640 W Washington St
Pittsfield, IL 62363
Phone (217) 285-2113

1005 Broadway St
Quincy, IL 62301

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

154 Forrest Dr
Hannibal, MO 63401
Phone (573) 221-2120

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 12

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

Hospital & facility affiliations 3

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": "1423872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639560410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400",
            "fax_number": "217-223-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W WASHINGTON ST",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631350",
            "telephone_number": "217-285-2113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1118 Hampshire St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623013027",
            "country_code": "US",
            "telephone_number": "217-222-6550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1118 Hampshire St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623013027",
            "country_code": "US",
            "telephone_number": "217-222-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMAX",
        "first_name": "LYNDELL",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, IL

Sources for this page

Verify at the official NPI Registry.