Individual provider Active NPI

Lisa A. Boget, PA-C

  • Medical Physician Assistant
  • Swansea, IL
National Provider Identifier
1619083102
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085000996 Issued in IL
Practice address
4948 Benchmark Centre Dr
Swansea, IL 62226-2027
Phone
(618) 628-2588
Fax
(618) 628-1363
NPI assigned
Aug 21, 2006
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA752 KY
Medical Physician Assistant 363AM0700X 085000996 IL Primary

Addresses

Primary practice location

4948 Benchmark Centre Dr
Swansea, IL 62226-2027

Mailing address

4948 Benchmark Centre Dr
Swansea, IL 62226-2027
Phone (618) 628-2588

Other practice location 1

10720 165th St
Orland Park, IL 60467-8714
Phone (708) 460-7890

Other practice location 2

123 W Michigan St
Ottawa, IL 61350-2028
Phone (815) 431-9850

Other practice location 3

4550 Southwest Hwy
Oak Lawn, IL 60453-1842
Phone (708) 231-1445

Other practice location 4

2323 Naperville Rd Ste 120
Naperville, IL 60563-5606
Phone (630) 462-8680

Other practice location 5

103 N Haven Rd Ste 7
Elmhurst, IL 60126-2973
Phone (630) 832-2111

Other practice location 6

2148 N Damen Ave
Chicago, IL 60647-4562
Phone (773) 938-8128

Other practice location 7

331 W Surf St Ste 912
Chicago, IL 60657-7227
Phone (833) 257-7546

Other practice location 8

9300 Waukegan Rd
Morton Grove, IL 60053-1312
Phone (833) 257-7546

Other practice location 9

1515 Barrington Rd
Hoffman Estates, IL 60169-5021
Phone (833) 257-7546

Other practice location 10

20646 Abbey Woods Ct N
Frankfort, IL 60423-3161
Phone (815) 744-8554

Other practice location 11

7123 W Archer Ave
Chicago, IL 60638-2203
Phone (773) 586-4506

Other practice location 12

595 William Latham Dr
Bourbonnais, IL 60914-2319
Phone (815) 744-8554

Other practice location 13

580 E Boughton Rd
Bolingbrook, IL 60440-2551
Phone (630) 972-2600

Other practice location 14

738 W Northwest Hwy
Barrington, IL 60010-2640
Phone (847) 382-5111

Other practice location 15

1870 Silver Cross Blvd Ste 250
New Lenox, IL 60451-8647
Phone (815) 463-8989

Other practice location 16

1828 Bay Scott Cir
Naperville, IL 60540-1110
Phone (630) 381-0365

Other practice location 17

2400 S Finley Rd
Lombard, IL 60148-7029
Phone (833) 257-7546

Other practice location 18

820 Springer Dr
Lombard, IL 60148-6413
Phone (815) 744-8554

Other practice location 19

2500 Highland Dr Ste 1040
Hoffman Estates, IL 60067-7348
Phone (833) 257-7546

Other practice location 20

1124 Essington Rd
Joliet, IL 60435-8423
Phone (833) 257-7546

Other practice location 21

2500 S Highland Ave Ste 320
Lombard, IL 60148-5390
Phone (630) 793-8193

Other identifiers 3

IdentifierTypeStateIssuer
1619083102MedicaidIL
P00080693OtherKYRAILROAD MEDICARE
000000324636OtherKYANTHEM

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
I20190329001883 IL Practitioner - Physician Assistant 5991694887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musick Dermatology and Advanced Clinical Spa LLCGroup PAC ID 3577636604, 7 clinicians

Practice addresses (Care Compare)

4948 Benchmark Centre Dr
Swansea, IL 62226-2027
Phone (618) 628-2588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Dermatology,PC Past Accepting new patients
Purchase Derm-ENT, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lisaboget@pinnacleskin.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1619083102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4948 BENCHMARK CENTRE DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262027",
            "telephone_number": "618-628-2588",
            "fax_number": "618-628-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4948 BENCHMARK CENTRE DR",
            "city": "SWANSEA",
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            "postal_code": "622262027",
            "telephone_number": "618-628-2588",
            "fax_number": "618-628-1363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10720 165th St",
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            "city": "Orland Park",
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            "postal_code": "604678714",
            "country_code": "US",
            "telephone_number": "708-460-7890",
            "fax_number": "708-460-5537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
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            "postal_code": "613502028",
            "country_code": "US",
            "telephone_number": "815-431-9850",
            "fax_number": "815-431-9853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4550 Southwest Hwy",
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            "postal_code": "604531842",
            "country_code": "US",
            "telephone_number": "708-231-1445",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 Naperville Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605635606",
            "country_code": "US",
            "telephone_number": "630-462-8680",
            "fax_number": "630-462-8685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 N Haven Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601262973",
            "country_code": "US",
            "telephone_number": "630-832-2111",
            "fax_number": "630-832-5199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2148 N Damen Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606474562",
            "country_code": "US",
            "telephone_number": "773-938-8128",
            "fax_number": "773-938-8126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 W Surf St Ste 912",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606577227",
            "country_code": "US",
            "telephone_number": "833-257-7546",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Morton Grove",
            "state": "IL",
            "postal_code": "600531312",
            "country_code": "US",
            "telephone_number": "833-257-7546",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Barrington Rd",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601695021",
            "country_code": "US",
            "telephone_number": "833-257-7546",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20646 Abbey Woods Ct N",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604233161",
            "country_code": "US",
            "telephone_number": "815-744-8554",
            "fax_number": "815-744-3969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7123 W Archer Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606382203",
            "country_code": "US",
            "telephone_number": "773-586-4506",
            "fax_number": "773-586-5044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "595 William Latham Dr",
            "address_purpose": "LOCATION",
            "city": "Bourbonnais",
            "state": "IL",
            "postal_code": "609142319",
            "country_code": "US",
            "telephone_number": "815-744-8554",
            "fax_number": "815-744-3969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 E Boughton Rd",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604402551",
            "country_code": "US",
            "telephone_number": "630-972-2600",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "738 W Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600102640",
            "country_code": "US",
            "telephone_number": "847-382-5111",
            "fax_number": "847-382-8993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 Silver Cross Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604518647",
            "country_code": "US",
            "telephone_number": "815-463-8989",
            "fax_number": "815-463-8948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1828 Bay Scott Cir",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605401110",
            "country_code": "US",
            "telephone_number": "630-381-0365",
            "fax_number": "815-744-3969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Finley Rd",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601487029",
            "country_code": "US",
            "telephone_number": "833-257-7546",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Springer Dr",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601486413",
            "country_code": "US",
            "telephone_number": "815-744-8554",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Highland Dr Ste 1040",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "600677348",
            "country_code": "US",
            "telephone_number": "833-257-7546",
            "fax_number": "847-884-8125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1124 Essington Rd",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604358423",
            "country_code": "US",
            "telephone_number": "833-257-7546",
            "fax_number": "815-744-3969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 S Highland Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601485390",
            "country_code": "US",
            "telephone_number": "630-793-8193",
            "fax_number": "630-785-6934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGET",
        "first_name": "LISA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA752",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085000996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619083102",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00080693",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000324636",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.