Individual provider Active NPI

Lisa Simone Herzing, FNP-BC

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1912210378
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2010022185 Issued in MO
Practice address
8888 Ladue Rd Ste 210
Saint Louis, MO 63124-2056
Phone
(314) 862-5044
Fax
(314) 862-2734
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2010022185 MO Primary
Family Nurse Practitioner 363LF0000X 2010022185 MO
Family Nurse Practitioner 363LF0000X 209008271 IL

Addresses

Primary practice location

8888 Ladue Rd Ste 210
Saint Louis, MO 63124-2056

Mailing address

PO Box 959354
Saint Louis, MO 63195-2834
Phone (314) 862-5044

Other practice location 1

420 N 34th St
Quincy, IL 62301-7431
Phone (217) 217-9626

Other practice location 2

936 Broadway St
Quincy, IL 62301-2731
Phone (217) 228-5521

Other practice location 3

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110314000791 IL Practitioner - Nurse Practitioner 8921280892 Reassigns benefits to 1 organization
I20171115002153 MO Practitioner - Nurse Practitioner 8921280892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, shared by 21 NPIs, 414 clinicians
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians

Practice addresses (Care Compare)

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

8888 Ladue Rd
Suite 210
Saint Louis, MO 63124-2056
Phone (314) 996-5900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
92.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Groups LC CurrentSince Oct 1, 2024 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Blessing Hospital Current Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Blessing Hospital CurrentSince Jan 1, 2026 Accepting new patients
Physician Groups LC CurrentSince Oct 1, 2024 Accepting new patients
Fairview Heights Medical Group SC Past Accepting new patients
Granite City Physicians Corp Past Accepting new patients
Fairview Heights Medical Group SC Past Accepting new patients
WH Ar Medical PLLC Past Accepting new patients
Wound Solutions of Central Arkansas LLC PastSince May 1, 2023 Accepting new patients

Locations

2122 Troy Rd
Ste 130
Edwardsville, IL 62025
Phone (618) 692-9876

1005 Broadway St
Quincy, IL 62301

420 N 34th St
Quincy, IL 62301
Phone (217) 214-9626

1400 Harrison St
Quincy, IL 62301
Phone (217) 214-9696

4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

6996 County Road 326
Palmyra, MO 63461
Phone (573) 769-3710

8888 Ladue Rd
Ste 210
Saint Louis, MO 63124
Phone (314) 862-5044

Organizations & group practices 11

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 2

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1912210378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959354",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631952834",
            "telephone_number": "314-862-5044",
            "fax_number": "314-862-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 LADUE RD STE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242056",
            "telephone_number": "314-862-5044",
            "fax_number": "314-862-2734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N 34th St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623017431",
            "country_code": "US",
            "telephone_number": "217-217-9626",
            "fax_number": "217-214-9627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "936 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623012731",
            "country_code": "US",
            "telephone_number": "217-228-5521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623012834",
            "country_code": "US",
            "telephone_number": "217-223-8400",
            "fax_number": "217-214-5837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERZING",
        "first_name": "LISA",
        "middle_name": "SIMONE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2010022185",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010022185",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8888 LaDue Rd Ste 210",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631242056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.