Individual provider Active NPI

Lisa Marie Chapman Conlin, MSN FNP-BC

  • Family Nurse Practitioner
  • Romeoville, IL
National Provider Identifier
1962019216
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
041302811 Issued in IL
Practice address
160 N Independence Blvd
Romeoville, IL 60446-1803
Phone
(630) 892-4355
NPI assigned
Sep 29, 2020
Last updated
Jul 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 041302811 IL Primary

Addresses

Primary practice location

160 N Independence Blvd
Romeoville, IL 60446-1803

Mailing address

400 N Highland Ave
Aurora, IL 60506-3814
Phone (630) 892-4355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20230807003557 VI Practitioner - Nurse Practitioner 5092126896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Caricare Family Health Services LLCGroup PAC ID 6507935889, 3 clinicians

Practice addresses (Care Compare)

9149 Estate Thomas
Suite 301
St Thomas, VI 00802-3133
Phone (340) 776-8112

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Caricare Family Health Services, L.L.C CurrentSince Mar 21, 2023 Accepting new patients
Cog Restore, LLC Past Accepting new patients

Locations

9149 Estate Thomas
Ste 301
St Thomas, VI 00802
Phone (340) 776-8112

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1962019216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063814",
            "telephone_number": "630-892-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N INDEPENDENCE BLVD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461803",
            "telephone_number": "630-892-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN CONLIN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MSN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041302811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

Verify at the official NPI Registry.