Individual provider Active NPI

Hannah Lumberg, PA-C

  • Physician Assistant
  • Evanston, IL
National Provider Identifier
1194404004
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.011856 Issued in IL
Practice address
501 Davis St
Evanston, IL 60201-4619
Phone
(312) 815-9660
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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 085.011856 IL Primary

Addresses

Primary practice location

501 Davis St
Evanston, IL 60201-4619

Mailing address

1555 Ridge Ave Apt 316
Evanston, IL 60201-4174
Phone (312) 909-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260622000860 IL Practitioner - Physician Assistant 4789157843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 E Superior
Suite 306
Chicago, IL 60611

1 E Superior
Suite 306
Chicago, IL 60611-2507

1 E Superior St
Suite 306
Chicago, IL 60611-2595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085.011856ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Clinic PLLC Physician Assistant CurrentSince Jun 15, 2026 Accepting new patients

Locations

929 W Belmont Ave
Chicago, IL 60657
Phone (312) 530-0323

501 Davis St
Evanston, IL 60201
Phone (312) 546-4193

Organizations & group practices 1

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1194404004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 RIDGE AVE APT 316",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014174",
            "telephone_number": "312-909-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014619",
            "telephone_number": "312-815-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMBERG",
        "first_name": "HANNAH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.011856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.