Neil Alan Paulsen

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085005283 Issued in IL

Practice address

2000 W Main St Ste M
St Charles, IL 60174-1773

Phone

(630) 584-9242

Fax

(630) 584-9243

NPI assigned

Dec 9, 2014

Last updated

Dec 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1912283110
  Medicare reassignment NPD
• Aurora Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Yorkville, IL
  • NPI 1407379423
  Medicare reassignment
• Cermak Medical Group LLC

  • Family Medicine Physician
  • Cicero, IL
  • NPI 1518498393
  Medicare reassignment
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118
  Medicare reassignment
• Aurora Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Aurora, IL
  • NPI 1508389628
  NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Springfield, IL
  • NPI 1871360297
  NPD
• Emergency Medicine Physicians of Blue Island, LLC

  • Emergency Medicine Physician
  • Blue Island, IL
  • NPI 1922465012
  NPD (past)
• Midway Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Waukegan, IL
  • NPI 1447397526
  NPD (past)
• Physicians Express, LLC

  • Primary Care Clinic/Center
  • St Charles, IL
  • NPI 1821059452
  NPD (past)

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1851799738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W MAIN ST STE M",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741773",
            "telephone_number": "630-584-9242",
            "fax_number": "630-584-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W MAIN ST STE M",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741773",
            "telephone_number": "630-584-9242",
            "fax_number": "630-584-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "NEIL",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yogesh J Patel, D.O.
• Patrick J. Ahern, J.D., L.C.S.W., P.C.
• Coletta Deirdre Patterson
• Paul Maco, D.D.S., P.C. (Main Street Commons Dental Care)
• Christina Joy Paulsen, ALMFT
• Madison Elizabeth Pautz
• Alec Pawlak, DC
• Pearl of St. Charles, LLC
• Kyle E Pedersen, D.D.S.
• Amy Penar

• Physician Assistant in St Charles, IL
• Providers in St Charles, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.

Verify at the official NPI Registry.