Individual provider Active NPI

Lisa Mussman

  • Emergency Medicine Physician
  • Olympia Fields, IL
National Provider Identifier
1437424462
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02004745A Issued in IN
Practice address
20201 South Crawford Avenue
Attn: Postdoctoral Education
Olympia Fields, IL 60461
Phone
(708) 747-4000
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 02004745A IN Primary

Addresses

Primary practice location

20201 South Crawford Avenue
Attn: Postdoctoral Education
Olympia Fields, IL 60461

Mailing address

20201 Crawford Ave
Olympia Fields, IL 60461-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151207001791 IN Practitioner - Emergency Medicine 9133429533 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians
Emergency Professionals of Indiana PCGroup PAC ID 4183604150, 118 clinicians

Practice addresses (Care Compare)

600 Grant St
Gary, IN 46402-6001
Phone (219) 886-4000

85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 983-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
02004745AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Jan 5, 2023 Accepting new patients
Clarksville Physician Services PC CurrentSince Jan 14, 2024 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
North Indiana Emergency Physicians, LLP Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Clarksville Emergency Group, PC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1900 Roosevelt Rd
#2000
Valparaiso, IN 46383
Phone (219) 263-4900

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • Direct secure messaging: lmussman530269@direct.franciscanalliance.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 2

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": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1437424462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20201 CRAWFORD AVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 SOUTH CRAWFORD AVENUE",
            "address_2": "ATTN: POSTDOCTORAL EDUCATION",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "708-747-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSMAN",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02004745A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.