Active NPI
Lisa A. Boget, PA-C
- Medical Physician Assistant
- Swansea, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085000996
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619083102 | Medicaid | IL | |
| P00080693 | Other | KY | RAILROAD MEDICARE |
| 000000324636 | Other | KY | ANTHEM |
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
Enrollment records 1
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
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 100
- Promoting interoperability
- 88
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academic Dermatology,PC | Past | Accepting new patients | |
| Purchase Derm-ENT, PLLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Dermatology Physician
- Swansea, IL
- NPI 1922260587
-
- Specialist
- Edina, MN
- NPI 1164662730
-
- Otolaryngology Physician
- Paducah, KY
- NPI 1336101179
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
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",
"state": "IL",
"postal_code": "622262027",
"telephone_number": "618-628-2588",
"fax_number": "618-628-1363"
}
],
"practiceLocations": [
{
"address_1": "10720 165th St",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"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",
"state": "IL",
"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",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.