Individual provider Active NPI

Nada Lygrisse, D.O

  • Obstetrics & Gynecology Physician
  • Decatur, IL
National Provider Identifier
1871919134
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036.150440 Issued in IL
Practice address
741 W Pershing Rd
Decatur, IL 62526-1634
Phone
(217) 429-4119
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34.013540 OH
Obstetrics & Gynecology Physician 207V00000X 5101021076 MI
Student in an Organized Health Care Education/Training Program 390200000X MI
Obstetrics & Gynecology Physician 207V00000X 036.150440 IL Primary

Addresses

Primary practice location

741 W Pershing Rd
Decatur, IL 62526-1634

Mailing address

201 E Madison St Ste 303
Springfield, IL 62702-5131
Phone (217) 545-3787

Other identifiers 1

IdentifierTypeStateIssuer
0316886MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190920000268 IL Practitioner - Obstetrics/Gynecology 5496973448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio University, College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirby Medical CenterGroup PAC ID 6901791144, 80 clinicians
Lake Shore OB GYN of Decatur S CGroup PAC ID 1658269840, 2 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Monticello, IL 61856-2116

741 W Pershing Rd
Decatur, IL 62526-1634
Phone (217) 429-4119

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036.150440ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 16, 2023 Accepting new patients
Kirby Medical Center CurrentSince Apr 14, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 16, 2023 Accepting new patients
Kirby Medical Center CurrentSince Apr 14, 2025 Accepting new patients
Lake Shore OB GYN of Decatur S C CurrentSince Feb 10, 2025 Accepting new patients
Kirby Medical Center Past Accepting new patients

Locations

1770 E Lake Shore Dr
Ste 303
Decatur, IL 62521

741 W Pershing Rd
Decatur, IL 62526
Phone (217) 429-4119

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

1000 Medical Center Dr
Ste A
Monticello, IL 61856

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

815 Main St
Ste A1
Peoria, IL 61602

Interoperability endpoints

  • Direct secure messaging: nlygrissedo403011@carlehiedirect.net
  • Direct secure messaging: nada.lygrisse@335000925634564.direct.elationemr.com
  • Direct secure messaging: nada.lygrisse.1@16967.direct.athenahealth.com

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 4

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": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1871919134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MADISON ST STE 303",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025131",
            "telephone_number": "217-545-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 W PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261634",
            "telephone_number": "217-429-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYGRISSE",
        "first_name": "NADA",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.013540",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101021076",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.150440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0316886",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.