Lisa Nannie, FNP
NPI 1417962937 · Family Nurse Practitioner · Peoria, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Nannie, FNP is a Family Nurse Practitioner provider in Peoria, IL (NPI 1417962937).
Provider details
- NPI number
- 1417962937
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209001338 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2023-10-12
- Certified
- 2023-10-12
Frequently asked questions
- What is Lisa Nannie's NPI number?
- Lisa Nannie's National Provider Identifier (NPI) is 1417962937, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Nannie's specialty?
- Lisa Nannie is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lisa Nannie located?
- Lisa Nannie's practice location on file with NPPES is 8914 N Knoxville Ave, Peoria, IL 61615-1410.
- What is Lisa Nannie's phone number?
- The practice phone number listed in the NPPES registry for Lisa Nannie is (309) 691-9110.
- Does Lisa Nannie accept Medicare?
- Lisa Nannie is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Nannie's NPI active?
- Yes — Lisa Nannie's NPI (1417962937) is active in the NPPES registry as of the last update on 2023-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.