Individual provider Active NPI

Elizabeth Marie Stahmer, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1093125437
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.005027 Issued in IL
Practice address
1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone
(773) 542-2000
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.005027 IL Primary

Addresses

Primary practice location

1500 S Fairfield Ave
Chicago, IL 60608-1782

Mailing address

5020 S Lake Shore Dr
Apt 2707
Chicago, IL 60615-3253
Phone (402) 321-5733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140618001940 IL Practitioner - Physician Assistant 6204050925 Reassigns benefits to 1 organization
I20181023000879 NE Practitioner - Physician Assistant 6204050925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2240NEMDOccupational Therapist
085.005027ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Jul 1, 2014 Accepting new patients
New Century Physicians of Nebraska LLC CurrentSince Oct 1, 2019 Accepting new patients
Nebraska Methodist Hospital Physician Assistant CurrentSince Jul 11, 2022 Accepting new patients
Sinai Community Foundation CurrentSince Jul 1, 2014 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Emergency Medicine Physicians of Chicago, LLC Past Accepting new patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients

Locations

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

Interoperability endpoints

  • Direct secure messaging: elizabeth.stahmer@direct.nmhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1093125437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 S LAKE SHORE DR",
            "address_2": "APT 2707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153253",
            "telephone_number": "402-321-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081782",
            "telephone_number": "773-542-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHMER",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.005027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.