Dr Lisa Marie Petrongelli, PSYD, APRN-BC, FPA - Medicare Nurse Practitioner in Hoffman Estates, IL

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Dr Lisa Marie Petrongelli, PSYD, APRN-BC, FPA is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hoffman Estates, Illinois. Her current practice location is 1776 Moon Lake Blvd, Hoffman Estates, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 882-4181.

Dr Lisa Marie Petrongelli is licensed to practice in Illinois (license number 277000902) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306281332.

Contact Information

Dr Lisa Marie Petrongelli, PSYD, APRN-BC, FPA
1776 Moon Lake Blvd,
Hoffman Estates, IL 60169-1010
(847) 882-4181
(847) 882-4299

Map and Direction




Provider's Profile

Full NameDr Lisa Marie Petrongelli
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1776 Moon Lake Blvd, Hoffman Estates, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306281332
  • Provider Enumeration Date: 05/03/2013
  • Last Update Date: 03/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1153229885
  • Enrollment ID: I20031219000456

Medical Identifiers

Medical identifiers for Dr Lisa Marie Petrongelli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306281332NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 277000902 (Illinois)Primary
103TA0400XPsychologist - Addiction (substance Use Disorder) (* (Not Available))Secondary
363LW0102XNurse Practitioner - Women's Health 277000902 (Illinois)Secondary
103TH0100XPsychologist - Health Service (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family 277000902 (Illinois)Secondary
103T00000XPsychologist (* (Not Available))Secondary
103TC2200XPsychologist - Clinical Child & Adolescent (* (Not Available))Secondary
363L00000XNurse Practitioner 209004881 (Illinois)Secondary
103TP2701XPsychologist - Group Psychotherapy (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health 277000902 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lisa Marie Petrongelli allows following entities to bill medicare on her behalf.
Entity NameFred J Halloran Md Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295906774
PECOS PAC ID: 5799699831
Enrollment ID: O20031113000658

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lisa Marie Petrongelli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lisa Marie Petrongelli, PSYD, APRN-BC, FPA
1776 Moon Lake Blvd,
Hoffman Estates, IL 60169-1010

Ph: (847) 228-4181		Dr Lisa Marie Petrongelli, PSYD, APRN-BC, FPA
1776 Moon Lake Blvd,
Hoffman Estates, IL 60169-1010

Ph: (847) 882-4181

Reviews and Comments


Nurse Practitioner Nurses in Hoffman Estates, IL

Jennifer M. Leskis, A.P. N.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4885 Hoffman Blvd Ste 400, Hoffman Estates, IL 60192
Phone: 847-255-9697    Fax: 847-255-3206
Andres Castillo,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2359 Hassell Rd, Hoffman Estates, IL 60169
Phone: 630-717-2600    
Ms. Angeline Heaver, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2359 Hassell Rd, Hoffman Estates, IL 60169
Phone: 847-843-7030    Fax: 630-848-9335
Marielle Mitchell, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1555 Barrington Rd Ste 2550, Hoffman Estates, IL 60169
Phone: 847-250-2487    
Prof. Judith Ann Thommes, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1555 Barrington Rd. Suite 415, Alexian Bros Med Group - Peds Specialty Group, Hoffman Estates, IL 60169
Phone: 847-755-8677    
Karen S Dicken, APN/CNS
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1786 Moon Lake Blvd, #104, Hoffman Estates, IL 60169
Phone: 847-755-8090    Fax: 847-843-7393
Daniella Moschea, FNP-BC, MSN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 3711 N Firestone Dr, Hoffman Estates, IL 60192
Phone: 847-271-4564    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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