Elizabeth A Werner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

85010425 Issued in IL

Practice address

1010 Lake St Ste 301
Oak Park, IL 60301-1133

Phone

(219) 861-4712

NPI assigned

Jul 9, 2022

Last updated

May 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, CO2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Street Family Physicians SC IncGroup PAC ID 8123081189, 8 clinicians

Bella Natural Womens CareGroup PAC ID 1052531787, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Street Family Physicians SC Inc

  • Family Medicine Physician
  • Oak Park, IL
  • NPI 1841363850
  Medicare reassignment Care Compare group
• Bella Natural Womens Care

  dba Bella Health & Wellness

  • Obstetrics & Gynecology Physician
  • Englewood, CO
  • NPI 1316354095
  Medicare reassignment Care Compare group
• Rush University Medical Group

  dba Rush University Internists

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542
  NPD (past)

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1518690247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST STE 301",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011133",
            "telephone_number": "708-524-8600",
            "fax_number": "708-524-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST STE 301",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011133",
            "telephone_number": "219-861-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "85010425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Well Woman Psychiatry
• Alan W. Weller, D.C.
• Wellness Chicago Complementary Medical Centers
• Wellness for Life
• Earl Wendel, M.D.
• Kimberly K Werner, PHARMD
• Valerie Ann Werner, LMFT
• Wesley C. Wise, DDS & Associates, LTD
• West Side Emergency Physicians, LLP
• West Side Pathology Associates, P.C.

• Physician Assistant in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.
• Medicare Care Compare (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.