Individual provider Active NPI

Lauren Michelle Garside, PA-C

  • Physician Assistant
  • Mount Prospect, IL
National Provider Identifier
1396364576
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.007506 Issued in IL
Practice address
199 W Rand Rd Ste 203
Mount Prospect, IL 60056-1157
Phone
(847) 618-5450
Fax
(847) 618-5459
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 085.007506 IL Primary

Addresses

Primary practice location

199 W Rand Rd Ste 203
Mount Prospect, IL 60056-1157

Mailing address

199 W Rand Rd Ste 203
Mount Prospect, IL 60056-1157
Phone (847) 618-5450

Other identifiers 1

IdentifierTypeStateIssuer
085007506OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldoyle156632@direct.nch.org

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
I20200707002968 IL Practitioner - Physician Assistant 5597188748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1200 W Algonquin Rd
Palatine, IL 60067-7373
Phone (847) 618-0535

15 S McHenry Rd
Buffalo Grove, IL 60089-6705
Phone (847) 520-9424

199 W Rand Rd
Mount Prospect, IL 60056-1151
Phone (847) 618-5400

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.007506ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Jul 13, 2020 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 12, 2023 Accepting new patients
Access Community Health Network CurrentSince Jul 13, 2020 Accepting new patients
Northwest Community Health Services Inc Physician Assistant CurrentSince May 22, 2023 Accepting new patients
Northwest Community Health Services Inc Physician Assistant CurrentSince May 22, 2023 Accepting new patients

Locations

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

9532 Eagle Way
Chicago, IL 60678

25233 Network Pl
Chicago, IL 60673

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

199 W Rand Rd
Mt Prospect, IL 60056
Phone (847) 618-5400

199 W Rand Rd
Ste 203
Mt Prospect, IL 60056
Phone (847) 618-5450

Interoperability endpoints

  • Direct secure messaging: ldoyle156632@direct.nch.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1396364576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 W RAND RD STE 203",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561157",
            "telephone_number": "847-618-5450",
            "fax_number": "847-618-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 W RAND RD STE 203",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561157",
            "telephone_number": "847-618-5450",
            "fax_number": "847-618-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARSIDE",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "085007506",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldoyle156632@direct.nch.org",
            "affiliation": "N",
            "address_1": "199 W Rand Rd Ste 203",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600561157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.