Mrs Lisa L Shepherd, CNP is a medicare enrolled "Nurse Practitioner - Family" in Camargo, Illinois. She graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
117 W Main St, Camargo, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 832-2602.
Mrs Lisa L Shepherd is licensed to practice in Illinois (license number 277000112) 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 1922112978.
Provider's Profile
| Full Name | Mrs Lisa L Shepherd |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 20 Years |
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| Location | 117 W Main St, Camargo, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Lisa L Shepherd graduated from nursing school in 2006
NPI Data:
- NPI Number: 1922112978
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 11/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002871118
- Enrollment ID: I20070129000055
Medical Identifiers
Medical identifiers for Mrs Lisa L Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922112978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 277000112 (Illinois) | Primary |
Medical Facilities Affiliation
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. Mrs Lisa L Shepherd allows following entities to bill medicare on her behalf.
| Entity Name | Family Health Center Of East Central Illinois, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174639223
PECOS PAC ID: 3678538881
Enrollment ID: O20041130000554 |
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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. Mrs Lisa L Shepherd 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 Address | Practice Location Address |
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Mrs Lisa L Shepherd, CNP
117 W Main St,
Camargo, IL 61919-3312
Ph: (217) 832-2602 | Mrs Lisa L Shepherd, CNP
117 W Main St,
Camargo, IL 61919-3312
Ph: (217) 832-2602 |
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