Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

MS. Lisa Annette Ellingwood, APRN, PMHNP-BC

Individual provider Registered Nurse · NPI 1083255343

MS. Lisa Annette Ellingwood, APRN, PMHNP-BC is a Nurse Practitioner in Champaign, Illinois. Qualified in 2019, 7 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1802 S Mattis Ave
Champaign, IL 61821-5923
Phone: (217) 365-2855
Fax: (217) 365-2856
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209.020407 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041.385774 (IL)

Record details

NPI number1083255343
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , PMHNP-BC
Sole proprietorYes
NPI enumeratedOctober 7, 2019
Last updated in NPPESApril 22, 2024
Certification dateJune 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Carle Health Care Incorporated

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1543 clinicians in the practice; 12 are shown here.

Other providers in Champaign