Tami S Lasala, NP - Medicare Nurse Practitioner in Freeport, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Freeport
Tami S Lasala, NP is a medicare enrolled "Nurse Practitioner" in Freeport, Illinois. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cardiorenal Therapeutics Of Illinois Pllc, Freeport Memorial Hospital and her current practice location is 1045 W Stephenson St, Freeport, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 599-6000.

Tami S Lasala is licensed to practice in Illinois (license number 209012349) 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 1619303542.

Contact Information

Tami S Lasala, NP
1045 W Stephenson St,
Freeport, IL 61032-4864
(815) 599-6000
(815) 599-6933

Map and Direction




Provider's Profile

Full NameTami S Lasala
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location1045 W Stephenson St, Freeport, 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:
  • Tami S Lasala graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1619303542
  • Provider Enumeration Date: 09/24/2013
  • Last Update Date: 11/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1951537125
  • Enrollment ID: I20150316002494

Medical Identifiers

Medical identifiers for Tami S Lasala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619303542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041306876 (Illinois)Secondary
363L00000XNurse Practitioner 5512-33 (Wisconsin)Secondary
363LA2100XNurse Practitioner - Acute Care 5512-33 (Wisconsin)Secondary
363L00000XNurse Practitioner 209012349 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fhn Memorial HospitalFreeport, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cardiorenal Therapeutics Of Illinois Pllc539515967730
Freeport Memorial Hospital8426958232101

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. Tami S Lasala allows following entities to bill medicare on her behalf.
Entity NameFreeport Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447228788
PECOS PAC ID: 8426958232
Enrollment ID: O20040109000305
Entity NameKsb Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073592119
PECOS PAC ID: 7911890009
Enrollment ID: O20040203000860
Entity NameIn Home Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497087175
PECOS PAC ID: 3779612395
Enrollment ID: O20100520000116
Entity NameCardiorenal Therapeutics Of Illinois Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336752682
PECOS PAC ID: 5395159677
Enrollment ID: O20210127003081

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. Tami S Lasala 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
Tami S Lasala, NP
Po Box 857,
Freeport, IL 61032-0857

Ph: (815) 599-7925		Tami S Lasala, NP
1045 W Stephenson St,
Freeport, IL 61032-4864

Ph: (815) 599-6000

Reviews and Comments


Nurse Practitioner Nurses in Freeport, IL

Shannon Kaye Lizer, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Kiwanis Dr, Freeport, IL 61032
Phone: 815-235-4881    
Danielle E Siedschlag, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25 N Harlem Ave, Freeport, IL 61032
Phone: 815-599-7750    
Gabrielle Aragon Flanagan, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1009 Fairway Dr, Freeport, IL 61032
Phone: 815-986-4200    
Tamisha Bonvillain, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Fairway Dr, Freeport, IL 61032
Phone: 815-599-6000    
Lynda A Shiro, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Fairway Dr, Freeport, IL 61032
Phone: 815-599-7740    Fax: 815-599-7983
Elizabeth Rendleman, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 595 N Henderson Rd, Freeport, IL 61032
Phone: 815-238-3579    
Mrs. Susan Marie Tuell, F.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 667 W Fairview Rd, Freeport, IL 61032
Phone: 815-233-5734    Fax: 815-233-5754

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.