Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Lisa Rene Reno, NURSEPRACTITIONER

Individual provider Family Medicine Physician · NPI 1306871538

MS. Lisa Rene Reno, NURSEPRACTITIONER is a Nurse Practitioner in Shiloh, Illinois. Qualified in 2002, 24 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
24
Licensed in
IL
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1414 Cross St Ste 210
Shiloh, IL 62269-2988
Phone: (618) 607-1260
Fax: (618) 624-4865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Springfield Ct, O Fallon, IL 62269-2495 — (618) 632-3565

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209004280 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 209004280 (IL)

Record details

NPI number1306871538
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Shiloh