Individual provider Active NPI

Lindsey Marie Schlaeg, PA-C

  • Medical Physician Assistant
  • McHenry, IL
National Provider Identifier
1689233488
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085008679 Issued in IL
Practice address
3633 Municipal Dr
McHenry, IL 60050-5434
Phone
(779) 244-3072
NPI assigned
Jun 6, 2019
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085008679 IL Primary
Medical Physician Assistant 363AM0700X IL
Medical Physician Assistant 363AM0700X NY

Addresses

Primary practice location

3633 Municipal Dr
McHenry, IL 60050-5434

Mailing address

9140 Red Barn Dr
Wonder Lake, IL 60097-8150
Phone (518) 926-0681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023824NYMDPsychologist
085008679ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Ridge Medical Associates, LLC CurrentSince Oct 1, 2023 Accepting new patients
Fox Ridge Medical Associates, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

3633 Municipal Dr
McHenry, IL 60050
Phone (779) 244-3072

Interoperability endpoints

  • Direct secure messaging: lindsey.schlaeg.p1@direct.gefcc.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1689233488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 RED BARN DR",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600978150",
            "telephone_number": "518-926-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 MUNICIPAL DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505434",
            "telephone_number": "779-244-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAEG",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085008679",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.