Active NPI
Lysette McNerney, PA
- Physician Assistant
- Chicago, IL
National Provider Identifier
1790562585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.010031
- Practice address
- 300 N Canal St Apt 2602
Chicago, IL 60606-1306 - Phone
- (678) 896-8539
- NPI assigned
- Sep 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.010031 | IL | Primary |
Addresses
Primary practice location
300 N Canal St Apt 2602
Chicago, IL 60606-1306
Mailing address
300 N Canal St Apt 2602
Chicago, IL 60606-1306
Other names 1
- Lysette Cooksey
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.010031 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Workfit Physical Therapy LLC | Past | Accepting new patients |
Locations
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Interoperability endpoints
- lysette.mcnerney.1@24714.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1548914450
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Physical Therapy Clinic/Center
- Chicago, IL
- NPI 1942051636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1790562585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N CANAL ST APT 2602",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N CANAL ST APT 2602",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061306",
"telephone_number": "678-896-8539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNERNEY",
"first_name": "LYSETTE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-13",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.010031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYSETTE",
"last_name": "COOKSEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.