Individual provider Active NPI

Lisa Kovtun, APN

  • Family Nurse Practitioner
  • Buffalo Grove, IL
National Provider Identifier
1922851245
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209029507 Issued in IL
Practice address
56 W Dundee Rd
Buffalo Grove, IL 60089-3758
Phone
(224) 601-5001
NPI assigned
Apr 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209029507 IL Primary

Addresses

Primary practice location

56 W Dundee Rd
Buffalo Grove, IL 60089-3758

Mailing address

56 W Dundee Rd
Buffalo Grove, IL 60089-3758
Phone (224) 601-5001

Other practice location 1

480 S Rand Rd
Lake Zurich, IL 60047-2359
Phone (847) 350-1291

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
I20240509001988 IL Practitioner - Nurse Practitioner 2769823673 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago Midwest Geriatrics Physicians IncGroup PAC ID 9234420365, 6 clinicians
Vitality Forever Healthcare P.CGroup PAC ID 6608009253, 8 clinicians

Practice addresses (Care Compare)

2516 Sutton LN
Aurora, IL 60502-9458
Phone (630) 454-0257

56 W Dundee Rd
Buffalo Grove, IL 60089-3758
Phone (224) 601-5001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209029507ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Wound Care Physicians LLC CurrentSince Sep 29, 2024 Accepting new patients
MD @ Home Illinois, SC CurrentSince Apr 22, 2024 Accepting new patients
Chicago Midwest Geriatrics Physicians Inc CurrentSince Apr 21, 2024 Accepting new patients
Vitality Forever Healthcare P.C Family CurrentSince Nov 17, 2025 Accepting new patients
Vitality Urgent Care Services CurrentSince Nov 17, 2025 Accepting new patients

Locations

3900 Gabrielle Ln
Unit 9130
Aurora, IL 60598

56 W Dundee Rd
Buffalo Grove, IL 60089
Phone (224) 601-5001

2003 W Fulton St
#3
Chicago, IL 60612

2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223

480 S Rand Rd
Lake Zurich, IL 60047
Phone (224) 601-5001

Interoperability endpoints

  • Direct secure messaging: lisa.kovtun.1@3342.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1922851245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893758",
            "telephone_number": "224-601-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893758",
            "telephone_number": "224-601-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 S Rand Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600472359",
            "country_code": "US",
            "telephone_number": "847-350-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVTUN",
        "first_name": "LISA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.