NPIMap

Individual provider Active NPI

Lauren Lustig

  • Nurse Practitioner
  • Effingham, IL
National Provider Identifier
1770129991
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209019089 Issued in IL
Practice address
900 W Temple Ave Ste 1500
Effingham, IL 62401-2121
Phone
(217) 347-0458
Fax
(217) 342-2992
NPI assigned
Nov 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 209019089 IL Primary

Addresses

Primary practice location

900 W Temple Ave Ste 1500
Effingham, IL 62401-2121

Mailing address

900 W Temple Ave Ste 1500
Effingham, IL 62401-2121
Phone (217) 347-0458

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address llustig273056@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200211002726 IL Practitioner - Nurse Practitioner 4284060286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

904 Medical Park Dr
Effingham, IL 62401-2193
Phone (217) 540-2350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Jan 13, 2020 Accepting new patients
SJL Health Systems Inc CurrentSince Jan 13, 2020 Accepting new patients
HSHS Medical Group Inc Current Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients
HSHS Medical Group Inc PastSince Oct 24, 2021 Accepting new patients
HSHS Medical Group Inc PastSince Feb 1, 2022 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

900 W Temple Ave
Ste 1500
Effingham, IL 62401
Phone (217) 347-0458

900 W Temple Ave
Bldg B
Effingham, IL 62401
Phone (217) 347-1690

900 W Temple Ave
Ste 2500
Effingham, IL 62401
Phone (217) 347-2255

904 Medical Park Dr
Effingham, IL 62401
Phone (217) 347-1685

601 W Washington St
#1
Newton, IL 62448
Phone (618) 783-0954

Interoperability endpoints

  • Direct secure messaging: llustig273056@ewd.direct.hshs.org

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1770129991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE STE 1500",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012121",
            "telephone_number": "217-347-0458",
            "fax_number": "217-342-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W TEMPLE AVE STE 1500",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012121",
            "telephone_number": "217-347-0458",
            "fax_number": "217-342-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTIG",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209019089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llustig273056@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "900 W Temple Ave Ste 2500",
            "city": "Effingham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624012121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.