Lisa Moment, - Medicare Nurse Practitioner in Champaign, IL

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Lisa Moment, is a medicare enrolled "Nurse Practitioner - Family" in Champaign, Illinois. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ameriwound Physicians Il Llc and her current practice location is 1701 Curtis Rd, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 365-6201.

Lisa Moment is licensed to practice in Illinois (license number 209.011117) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205250859.

Contact Information

Lisa Moment,
1701 Curtis Rd,
Champaign, IL 61822-9678
(217) 365-6201
(217) 326-4003

Map and Direction




Provider's Profile

Full NameLisa Moment
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1701 Curtis Rd, Champaign, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Moment graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1205250859
  • Provider Enumeration Date: 02/18/2014
  • Last Update Date: 02/28/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8820220684
  • Enrollment ID: I20140409000837

Medical Identifiers

Medical identifiers for Lisa Moment such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205250859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.011117 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ameriwound Physicians Il Llc28606162997

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. Lisa Moment allows following entities to bill medicare on her behalf.
Entity NameIllinois-indiana Em-i Medical Services S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457503591
PECOS PAC ID: 3678487246
Enrollment ID: O20040326001003
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829
Entity NameAmeriwound Physicians Il Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104245893
PECOS PAC ID: 2860616299
Enrollment ID: O20140605000079
Entity NameGaps Health Il, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427655240
PECOS PAC ID: 8022429646
Enrollment ID: O20201202002174

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. Lisa Moment 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
Lisa Moment,
611 W Park St, Bwpc,
Urbana, IL 61801-2500

Ph: (217) 383-6941		Lisa Moment,
1701 Curtis Rd,
Champaign, IL 61822-9678

Ph: (217) 365-6201

Reviews and Comments


Nurse Practitioner Nurses in Champaign, IL

Emily Stephenson, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1701 Curtis Rd, Champaign, IL 61822
Phone: 217-365-6207    Fax: 217-365-6380
Mrs. Tiffany Ann Rushing, APN, FNP-BC, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1802 S Mattis Ave, Champaign, IL 61821
Phone: 217-365-2855    Fax: 217-365-2856
Maddison P. Draper, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2718 N Prospect Ave, Champaign, IL 61822
Phone: 217-337-3852    Fax: 217-337-3853
Jessica Lynn Mandrell,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 819 Bloomington Rd, Champaign, IL 61820
Phone: 217-356-1558    
Ms. Greta Obereiner, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Windsor Rd, Champaign, IL 61822
Phone: 217-366-8130    Fax: 217-366-6106
Alger Penas, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2300 S 1st St, Champaign, IL 61820
Phone: 217-383-9400    Fax: 217-383-9691
Miss Abigayl Frields, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1813 W Kirby Ave Ste 120, Champaign, IL 61821
Phone: 217-383-3131    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.