Active NPI
Elizabeth Marie Stahmer, PA-C
- Physician Assistant
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.005027
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2240 | NE | MD | Occupational Therapist |
| 085.005027 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Physician Assistant | Current | Accepting new patients |
| Sinai Community Foundation | Current | 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
- 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.
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1689628372
Physician Assistant
-
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1750672358
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1013916600
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1316178221
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Physician Assistant
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.