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Kristel E Bauer , PA-C

Physician Assistant β€’ Lake Bluff, IL

Active NPI 1508003997 Individual Practitioner Female Practitioner
Practice location in NPPES

900 N Shore Dr Ste 120
Lake Bluff, IL 600442225

Call 8476151698 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

900 N Shore Dr Ste 120

Lake Bluff, IL 600442225

Telephone 8476151698
Fax 8476151697
Organization at the Same NPPES Address or Phone
Child, Adolescent & Family Development Center Facility NPI 1851564421

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lake Bluff and Illinois

6 active clinicians are listed under Physician Assistant with a practice address in Lake Bluff, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 1072528

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Danielle Baran , PhD

Psychologist - Clinical

NPI 1962805275

Doctor of Philosophy (Ph.D.)

Michael Ficaro , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1346903291

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active February 27, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 27, 2017

Registered at 900 N SHORE DR STE 120, LAKE BLUFF, IL 600442225 (Tel: 8476151698)

πŸ“
Updated Business Mailing Address February 27, 2017

Registered at 900 N SHORE DR STE 120, LAKE BLUFF, IL 600442225 (Tel: 8476151698)

πŸ‘€
Provider Name / Credentials Updated February 27, 2017

Recorded as KRISTEL BAUER, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2017

Physician Assistant (license number reported to NPPES: IL 1072528)

βœ…
NPI Profile Active October 14, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 14, 2010

Registered at 1531 S GROVE AVE, SUITE 101, BARRINGTON, IL 600105240 (Tel: 8473818899)

πŸ“
Business Mailing Address (Initial Record) October 14, 2010

Registered at PO BOX 66007, CHICAGO, IL 606660007 (Tel: 9133815200)

πŸ‘€
Provider Name / Credentials (Initial Record) October 14, 2010

Recorded as KRISTEL BAUER, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2010

Physician Assistant (license number reported to NPPES: IL 1072528)

🟒
Initial NPI Registration & Enumeration January 07, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508003997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2009
Last Update: February 27, 2017
Sole Proprietor: No

Other Physician Assistants in Lake Bluff

Mailing Address

900 N Shore Dr Ste 120

Lake Bluff, IL 600442225

Phone: 8476151698

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.