Active NPI
Paige Lepp, MS, FNP-BC, FPA
- Family Nurse Practitioner
- Glenview, IL
National Provider Identifier
1740658228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277001332
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 277001332 | IL | MD | Dermatology Physician |
| 041369841 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On the Spot Dermatology PLLC | Dermatology | Current | 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.
-
- Dermatology Physician
- Glenview, IL
- NPI 1396484119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.