Lindsay Ryan Anderson, PA-C – Physician Assistant

Key facts

NPI: 1437447802
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 085004066 (IL)
Practice address: 9000 Waukegan Rd
Suite 210
Morton Grove, IL 60053-2127
Phone: (847) 967-5122
Fax: (847) 967-5125
NPI assigned: Jul 19, 2011
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Endeavor Health Medical Group Emergency Medicine Physician · Evanston, IL · NPI 1497701882

Medicare reassignment Care Compare group IL
Endeavor Health Medical Group Anesthesiology Physician · Evanston, IL · NPI 1265695944

NPD
Loren S Schechter MD SC LTD Plastic Surgery Physician · Morton Grove, IL · NPI 1427030071

NPD (past)

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2011
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Endeavor Health Medical Group (3,330 clinicians)

Practice addresses (Care Compare)

2100 Pfingsten Rd
Glenview, IL 60026-1301

2650 Ridge Ave
Evanston, IL 60201-1700

Merit-based Incentive Payment System (MIPS)

Final score: 84.9 of 100 (group)
Quality: 75.91
Promoting interoperability: 99
Improvement activities: 40
Cost: 74.6

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20110922000199	IL	Practitioner - Physician Assistant	3375714405	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
085004066	IL	MD	Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Endeavor Health Medical Group		Current since Mar 5, 2012	Accepting new patients
Loren S Schechter MD SC LTD		Past	Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

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

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

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2100 Pfingsten Rd
Glenview, IL 60026
Phone (847) 657-5800

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	085004066	IL	Yes

Addresses

Primary practice location

9000 Waukegan Rd
Suite 210
Morton Grove, IL 60053-2127

Mailing address

2100 Pfingsten Rd
Glenview, IL 60026-1301
Phone (847) 657-5800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 27, 2014.

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1437447802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PFINGSTEN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261301",
            "telephone_number": "847-657-5800",
            "fax_number": "847-657-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD",
            "address_2": "SUITE 210",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532127",
            "telephone_number": "847-967-5122",
            "fax_number": "847-967-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LINDSAY",
        "middle_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

All providers in Morton Grove, IL · Physician Assistant in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.