Lisa L Shepherd, CNP
Individual provider Active NPI Family Nurse Practitioner · Camargo, IL
NPI 1922112978 · NPPES record last updated Nov 26, 2025
Key facts
- NPI
- 1922112978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 277000112 (IL)
- Practice address
- 117 W Main St
Camargo, IL 61919-3312 - Phone
- (217) 832-2602
- Fax
- (217) 832-8358
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Center of East Central Illinois, Inc.
Practice addresses (Care Compare)
117 W Main St
Camargo, IL 61919-3312
Phone (217) 832-2602
Hospital & facility affiliations
- Sarah Bush Lincoln Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070129000055 | IL | Practitioner - Nurse Practitioner | 6002871118 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277000112 | IL | Yes |
Addresses
Primary practice location
117 W Main St
Camargo, IL 61919-3312
Mailing address
117 W Main St
Camargo, IL 61919-3312
Phone (217) 832-2602
Other providers in Camargo, IL
All providers in Camargo, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.