Lisa Annette Ellingwood, APRN, PMHNP-BC
NPI 1083255343ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Champaign, IL
Nurse Practitioner, Psych/Mental Health (APRN, PMHNP-BC) with Carle Health Care Incorporated, practicing in Champaign, Illinois. Part D covered 517 prescriptions written in 2024, 98% of them generic. Lists Carle Foundation Hospital as a hospital affiliation.
Overview
| NPI | 1083255343 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, PMHNP-BC |
| Sole proprietor | Yes |
| NPI issued | Oct 7, 2019 |
| Last updated in NPPES | Apr 22, 2024 |
| Certified by provider | Jun 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 209.020407 | IL |
| Registered Nurse | 163W00000X | 041.385774 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 517 · 823 30-day fills |
|---|---|
| Patients | 44 |
| Total drug cost | $33,217 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Carle Health Care IncorporatedUrbana, IL · 1,666 clinicians
Hospital affiliation
- Carle Foundation HospitalUrbana, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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