Individual provider Active NPI

Leann R Rushing, PA-C

  • Physician Assistant
  • Naperville, IL
National Provider Identifier
1730606583
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085006324 Issued in IL
Practice address
2007 95TH St Ste 105
Naperville, IL 60564-7802
Phone
(630) 646-6920
Fax
(630) 548-1749
NPI assigned
Aug 23, 2017
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085006324 IL Primary

Addresses

Primary practice location

2007 95TH St Ste 105
Naperville, IL 60564-7802

Mailing address

2007 95TH St Ste 105
Naperville, IL 60564-7802
Phone (630) 646-6920

Other practice location 1

1200 S York Rd
Sutie 2000
Elmhurst, IL 60126
Phone (331) 221-9001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lrushing170573@direct.edward.org Direct

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
I20171010001545 IL Practitioner - Physician Assistant 9234404740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Rush Medical College of Rush University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2007 95TH St
Naperville, IL 60564-8459
Phone (630) 527-3200

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085006324ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Apr 22, 2019 Accepting new patients
Edward Health Ventures CurrentSince Apr 22, 2019 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Wyse Eyecare SC Past Accepting new patients

Locations

2007 95th St
Ste 105
Naperville, IL 60564
Phone (630) 646-6920

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

Organizations & group practices 4

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 2

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1730606583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 95TH ST STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605647802",
            "telephone_number": "630-646-6920",
            "fax_number": "630-548-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 95TH ST STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605647802",
            "telephone_number": "630-646-6920",
            "fax_number": "630-548-1749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S York Rd",
            "address_2": "Sutie 2000",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "60126",
            "country_code": "US",
            "telephone_number": "331-221-9001",
            "fax_number": "331-221-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "LEANN",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrushing170573@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "2007 95th St Ste 105",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605647802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.