Lisa Ann Charles Fields, PHD, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.001395 Issued in IL

Practice address

1809 Sheridan Rd
North Chicago, IL 60064-2235

Phone

(847) 785-0611

Fax

(847) 785-0612

NPI assigned

Aug 13, 2006

Last updated

Nov 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
• Direct secure messaging: lisa.charles.fields.1@3836.direct.athenahealth.com

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.

• Intervention Arms Medical Center LLC

  • Family Medicine Physician
  • North Chicago, IL
  • NPI 1518145176
  Authorized official Same address or phone
• North Chicago Health Center

  • Community Health Clinic/Center
  • North Chicago, IL
  • NPI 1891010419
  NPD
• Nes Michigan Inc

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1740794536
  NPD
• Pedro G. Palu-Ay M.D.S.C.

  • Specialist
  • Zion, IL
  • NPI 1174726467
  NPD (past)
• Waukegan Clinic Corp

  • Family Medicine Physician
  • Waukegan, IL
  • NPI 1306937289
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1952313207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 SHERIDAN RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642235",
            "telephone_number": "847-785-0611",
            "fax_number": "847-785-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 SHERIDAN RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642235",
            "telephone_number": "847-785-0611",
            "fax_number": "847-785-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES FIELDS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PHD, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.001395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085-001395",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Chalupczak
• Alexis Julie Libre Chan
• Susanna Chang, M.D.
• Jamie Chapman, LCSW
• Sandra C. Chapman, APN
• Suzanne Thanh Chau, PHARMD, BCPS
• Priyanka Chava, MD
• Jin Cheng Benny Chen
• Regina C Chen, PA-C
• Jen-Chieh Cheng, M.D.//1941

• Physician Assistant in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.