Paul David Rieselman, DC, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209009686 Issued in IL

Practice address

4513 Lincoln Ave
Suite 212
Lisle, IL 60532-1289

Phone

(630) 795-1889

Fax

(630) 281-2802

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 15

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Integrated Health and Physical Medicine Center SCGroup PAC ID 0446495972, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Northstar Integrated Health & Physical Medicine Center, S.C.

  • Family Nurse Practitioner
  • Lisle, IL
  • NPI 1073869574

  Pain Management

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1679654974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 LINCOLN AVE",
            "address_2": "SUITE 212",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321289",
            "telephone_number": "630-795-1889",
            "fax_number": "630-281-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 LINCOLN AVE",
            "address_2": "SUITE 212",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321289",
            "telephone_number": "630-795-1889",
            "fax_number": "630-281-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESELMAN",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010007",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009686",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "IL",
            "license": "209009686",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": "209009686",
            "primary": false
        },
        {
            "code": "364SC2300X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Chronic Care",
            "state": "IL",
            "license": "209009686",
            "primary": false
        },
        {
            "code": "364SH1100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": "IL",
            "license": "209009686",
            "primary": false
        },
        {
            "code": "364SN0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neuroscience",
            "state": "IL",
            "license": "209009686",
            "primary": false
        },
        {
            "code": "364SX0106X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Occupational Health",
            "state": "IL",
            "license": "209009686",
            "primary": false
        },
        {
            "code": "364SR0400X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Rehabilitation",
            "state": "IL",
            "license": "209009686",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209009686",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209009686",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209009686",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "IL",
            "license": "041384754",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "038010007",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038010007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resilient Pathways, Inc.
• Restorative Neurofeedback
• Katherine Ricamato, MAAT,LPC
• Matt M Rieger, P.A.
• Amy Rieselman, LAC.
• Carla Marie Marquez Ripley, LCPC
• Andrea Marie Rizzo, APN
• Paige Robinson, RDN
• Remington Rodela, DC
• David Rodemaker, PSYD

• Family Nurse Practitioner in Lisle, IL
• Providers in Lisle, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.