Individual provider Active NPI

Paige Lepp, MS, FNP-BC, FPA

  • Family Nurse Practitioner
  • Glenview, IL
National Provider Identifier
1740658228
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277001332 Issued in IL
Practice address
3633 W Lake Ave Ste 409
Glenview, IL 60026-5804
Phone
(478) 344-3618
Fax
(847) 834-9217
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 277001332 IL
Family Nurse Practitioner 363LF0000X 041369841 IL
Family Nurse Practitioner 363LF0000X 277001332 IL Primary

Addresses

Primary practice location

3633 W Lake Ave Ste 409
Glenview, IL 60026-5804

Mailing address

3633 W Lake Ave Ste 409
Glenview, IL 60026-5804
Phone (847) 834-4361

Other practice location 1

600 W Lake Cook Rd
Ste 110
Buffalo Grove, IL 60089-2089
Phone (847) 459-6611

Other names 1

  • Paige Zivin Former name

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
I20171211002737 IL Practitioner - Nurse Practitioner 2860750320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On the Spot Dermatology PLLCGroup PAC ID 6305229808, 2 clinicians

Practice addresses (Care Compare)

3633 W Lake Ave
Suite 409
Glenview, IL 60026-5804
Phone (847) 834-4361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277001332ILMDDermatology Physician
041369841ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
On the Spot Dermatology PLLC Dermatology CurrentSince Jul 18, 2022 Accepting new patients

Locations

3633 W Lake Ave
Ste 409
Glenview, IL 60026
Phone (847) 834-4361

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1740658228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE STE 409",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265804",
            "telephone_number": "847-834-4361",
            "fax_number": "847-834-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 W LAKE AVE STE 409",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265804",
            "telephone_number": "478-344-3618",
            "fax_number": "847-834-9217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Lake Cook Rd",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600892089",
            "country_code": "US",
            "telephone_number": "847-459-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEPP",
        "first_name": "PAIGE",
        "credential": "MS, FNP-BC, FPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "277001332",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041369841",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "ZIVIN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.