Lisa Marie Chapman Conlin – Family Nurse Practitioner

Key facts

NPI: 1962019216
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 041302811 (IL)
Practice address: 160 N Independence Blvd
Romeoville, IL 60446-1803
Phone: (630) 892-4355
NPI assigned: Sep 29, 2020
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Caricare Family Health Services, L.L.C Internal Medicine Physician · St Thomas, VI · NPI 1174540017

Medicare reassignment Care Compare group NPD VI
Cog Restore, LLC Rehabilitation Clinic/Center · St Thomas, VI · NPI 1194108761

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

VI Government Hospital and Health Facilities Corp General Acute Care Hospital · St Thomas, VI · NPI 1487699047

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2019
Medicare assignment: May accept Medicare assignment
Telehealth: Offers telehealth services
Group practices: Caricare Family Health Services LLC (3 clinicians)

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Roy Lester Schneider Hospital,the Hospital · St Thomas, VI · CCN 480001

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Master of Science - Nursing

State licenses

License	State	Type	Specialty
041302811	IL	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Caricare Family Health Services, L.L.C		Current since 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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	041302811	IL	Yes

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

Other providers in Romeoville, IL

All providers in Romeoville, 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 Jul 5, 2021. 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.

Verify at the official NPI Registry.