Active NPI
David C Liss, NP
- Family Nurse Practitioner
- Monticello, IL
National Provider Identifier
1659713139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209010528
- Practice address
- 1000 Medical Center Dr
Monticello, IL 61856-2116 - Phone
- (217) 762-6241
- Fax
- (217) 762-1702
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209010528 | IL | Primary |
Addresses
Primary practice location
1000 Medical Center Dr
Monticello, IL 61856-2116
Mailing address
1000 Medical Center Dr
Monticello, IL 61856-2116
Phone (217) 762-6241
Other practice location 1
2 Sage Crossing Blvd Ste A
Monticello, IL 61856-4202
Phone (217) 817-8517
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dliss@kmc.kirbymedicalcenter.net | Direct |
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Medical Ctr Dr
Monticello, IL 61856-2116
Phone (217) 762-1540
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209010528 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirby Medical Center | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Kirby Medical Center | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540
2 Sage Crossing Blvd
Ste A
Monticello, IL 61856
Phone (217) 817-8517
Interoperability endpoints
- dliss@kmc.kirbymedicalcenter.net
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.
-
- Family Medicine Physician
- Monticello, IL
- NPI 1386635373
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
dba Kirby Medical Group
- Rural Health Clinic/Center
- Monticello, IL
- NPI 1558527259
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Monticello, IL
- NPI 1730179847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1659713139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER DR",
"city": "MONTICELLO",
"state": "IL",
"postal_code": "618562116",
"telephone_number": "217-762-6241",
"fax_number": "217-762-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER DR",
"city": "MONTICELLO",
"state": "IL",
"postal_code": "618562116",
"telephone_number": "217-762-6241",
"fax_number": "217-762-1702"
}
],
"practiceLocations": [
{
"address_1": "2 Sage Crossing Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "IL",
"postal_code": "618564202",
"country_code": "US",
"telephone_number": "217-817-8517",
"fax_number": "217-817-8516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LISS",
"first_name": "DAVID",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209010528",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dliss@kmc.kirbymedicalcenter.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1000 Medical Center Dr",
"city": "Monticello",
"state": "IL",
"country_code": "US",
"postal_code": "618562116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Monticello, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.