Individual provider Active NPI

Stephanie N Lemus, PA-C

  • Medical Physician Assistant
  • Chicago, IL
National Provider Identifier
1831456755
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085004318 Issued in IL
Practice address
360 W Hubbard St
Suite 3110
Chicago, IL 60654-5742
Phone
(646) 260-6443
NPI assigned
Apr 17, 2012
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016743 NY
Surgical Physician Assistant 363AS0400X 085004318 IL
Medical Physician Assistant 363AM0700X 085004318 IL Primary

Addresses

Primary practice location

360 W Hubbard St
Suite 3110
Chicago, IL 60654-5742

Mailing address

360 W Hubbard St
Suite 3110
Chicago, IL 60654-5742
Phone (646) 260-6443

Other identifiers 1

IdentifierTypeStateIssuer
03762278MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slemus258210@direct.edward.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120628000557 IL Practitioner - Physician Assistant 8022273820 Reassigns benefits to 5 organizations
I20170504000883 RI Practitioner - Physician Assistant 8022273820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 N Westmoreland Rd
Pavillion B 3Rd FL
Lake Forest, IL 60045-1659
Phone (847) 535-8500

1000 Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600

600 N Westmoreland Rd
Suite 1100
Lake Forest, IL 60045-1659
Phone (847) 535-9510

660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Mar 6, 2023 Accepting new patients
Cepamerica Illinois LLP CurrentSince Mar 1, 2015 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 29, 2020 Accepting new patients
Edward Health Ventures CurrentSince Mar 6, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 29, 2020 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jan 26, 2013 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jan 26, 2013 Accepting new patients
Cepamerica Illinois LLP CurrentSince Mar 1, 2015 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Sep 26, 2023 Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

303 W Lake St
#1
Addison, IL 60101

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

Dept 5777
Carol Stream, IL 60122

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1475 E Belvidere Rd
Ste 1268
Grayslake, IL 60030
Phone (847) 535-8950

1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

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

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste A1
Peoria, IL 61602

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1831456755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W HUBBARD ST",
            "address_2": "SUITE 3110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545742",
            "telephone_number": "646-260-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W HUBBARD ST",
            "address_2": "SUITE 3110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545742",
            "telephone_number": "646-260-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMUS",
        "first_name": "STEPHANIE",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016743",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085004318",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085004318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03762278",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slemus258210@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "303 W Lake St # 1",
            "city": "Addison",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601012586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.