Lisa Stanek, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209030199 Issued in IL

Practice address

4300 MBL Dr
Ottawa, IL 61350-9356

Phone

(815) 431-3848

Fax

(414) 622-3872

NPI assigned

Jul 1, 2022

Last updated

Oct 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 28)

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.

• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment Care Compare group NPD
• Medical Care Innovation, P.C.

  • Primary Care Clinic/Center
  • Ottawa, IL
  • NPI 1659818581
  NPD
• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD
• Cardinal Medical Group, LTD.

  • Multi-Specialty Clinic/Center
  • Peoria, IL
  • NPI 1992829485
  NPD (past)

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1689307126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MBL DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509356",
            "telephone_number": "815-431-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MBL DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509356",
            "telephone_number": "815-431-3848",
            "fax_number": "414-622-3872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Columbus St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "IL",
            "postal_code": "613501009",
            "country_code": "US",
            "telephone_number": "815-431-3410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 N Division St",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604503100",
            "country_code": "US",
            "telephone_number": "815-431-3410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANEK",
        "first_name": "LISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.438251",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209030199",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209030199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Dermatology
• Melissa Sporar, FNP-BC
• Spry Physical Therapy and Geriatric Wellness, PLLC
• Sshe RFMF Inc
• St. Mary's Hospital (St. Mary's Health Care)
• Starved Rock Regional Center for Therapy & Child Development
• Matthew B Steele, PTA
• Sullivan House Residential Care, Inc.
• Susan Koestler LCSW, Inc.
• Jennifer L Swanson, OTRL

• Family Nurse Practitioner in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.