Lisa Ann Fishback, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209026609 Issued in IL

Practice address

7626 W Hickory Creek Dr
Frankfort, IL 60423-9095

Phone

(815) 212-4225

NPI assigned

Jan 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment
• Salmon S Goldberg MD and David S Chudwin MDSC

  • Allergy & Immunology (Internal Medicine) Physician
  • Northbrook, IL
  • NPI 1366585614
  NPD

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1790490522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 W HICKORY CREEK DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239095",
            "telephone_number": "815-212-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 W HICKORY CREEK DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239095",
            "telephone_number": "815-212-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBACK",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209026609",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Farrell, MA, LPC, CADC
• Favor Health & Workforce Consulting LLC
• Joshua J Feigl, PT
• Audrey Marie Fields, MS, MOT, OTR/L
• Candace Finnin, OTD, OTR/L
• Fisher-Jost Therapy LLC
• Raven Fisher, LCPC
• Ashley Fitzpatrick
• Peggy Diane Fitzpatrick Sr., SLP
• Glenda Flemister, MD

• Family Nurse Practitioner in Frankfort, IL
• Providers in Frankfort, 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 Apr 14, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.