Individual provider Active NPI

Lisa Patel, FNP-BC, PHMNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Plaines, IL
National Provider Identifier
1851973325
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209023287 Issued in IL
Practice address
1568 Pennsylvania Ave
Des Plaines, IL 60018-1140
Phone
(224) 425-6179
NPI assigned
Apr 24, 2021
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209023287 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209023287 IL Primary

Addresses

Primary practice location

1568 Pennsylvania Ave
Des Plaines, IL 60018-1140

Mailing address

1568 Pennsylvania Ave
Des Plaines, IL 60018-1140
Phone (224) 425-6179

Other practice location 1

10735 S Cicero Ave Ste 100
Oak Lawn, IL 60453-6210
Phone (708) 636-2211

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409000787 IL Practitioner - Nurse Practitioner 8820512072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sudhir M Gokhale MD SCGroup PAC ID 7517923246, 12 clinicians

Practice addresses (Care Compare)

10735 S Cicero Ave
Suite 100
Oak Lawn, IL 60453-6210
Phone (708) 636-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209023287ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sudhir M Gokhale MD SC CurrentSince Mar 28, 2025 Accepting new patients

Locations

10735 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (708) 581-5866

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1619222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1851973325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 PENNSYLVANIA AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181140",
            "telephone_number": "224-425-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 PENNSYLVANIA AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181140",
            "telephone_number": "224-425-6179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10735 S Cicero Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604536210",
            "country_code": "US",
            "telephone_number": "708-636-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "LISA",
        "credential": "FNP-BC, PHMNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-24",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023287",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209023287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.