Individual provider Active NPI

Emilie Mies, PA-C

  • Physician Assistant
  • Lindenhurst, IL
National Provider Identifier
1942036652
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
583 Oxford LN
Lindenhurst, IL 60046-7876
Phone
(847) 532-1740
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IL Primary

Addresses

Primary practice location

583 Oxford LN
Lindenhurst, IL 60046-7876

Mailing address

583 Oxford LN
Lindenhurst, IL 60046-7876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 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
I20250128000597 IL Practitioner - Physician Assistant 7618406281 Reassigns benefits to 2 organizations
I20260626002503 CO Practitioner - Physician Assistant 7618406281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clarity Clinic LLCGroup PAC ID 7517284755, 110 clinicians

Practice addresses (Care Compare)

1 E Superior St
Suite 306
Chicago, IL 60611-2595
Phone (312) 754-9404

929 W Belmont Ave
Chicago, IL 60657-4408
Phone (312) 530-0323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Feb 10, 2026 Accepting new patients
Beyond Skin Dermatology LLC CurrentSince Jun 1, 2026 Accepting new patients

Locations

1444 S Potomac St
Ste 240
Aurora, CO 80012
Phone (720) 213-4679

2300 Lehigh Ave
Ste 215
Glenview, IL 60026
Phone (847) 621-7700

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1942036652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 OXFORD LN",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600467876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 OXFORD LN",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600467876",
            "telephone_number": "847-532-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIES",
        "first_name": "EMILIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, IL

Sources for this page

Verify at the official NPI Registry.