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REBECCA F NISHIMOTO PA-C
NPI 1073624664
Physician Assistant - Surgical in Highland Park, IL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
777 PARK AVE W, HIGHLAND PARK, IL 60035(847) 926-5844 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2026, Nov 2, 2021 (2 updates tracked since 2021).

About Rebecca F Nishimoto Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA F NISHIMOTO PA-C (NPI 1073624664) is an individual surgical provider in Highland Park, Illinois, licensed in Illinois (085002085) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1073624664
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameREBECCA F NISHIMOTOCredential: PA-C
Location Address777 PARK AVE WHighland Park, IL 60035-2433
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 982-6710
Phone(847) 926-5844
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1073624664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085002085
Also ListedEmergency MedicineTaxonomy 207P00000X · License 085002085 (IL)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085002085 (IL)
777 PARK AVE W, Highland Park, IL 60035
Open in Google Maps ↗

Other Identifiers 1

OtherP00417652Railroad Mcr

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rebecca F Nishimoto Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113828500
PECOS Enrollment IDI20040119000249
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUBY G. GUBAT CNS
Clinical Nurse Specialist
777 PARK AVE W, EP LAB, RM 1111
HIGHLAND PARK, IL 60035
Lake County (847) 480-2641
MRS. JENNIFER B RIFIS-MENG OTR/L
Occupational Therapist (Hand)
777 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 480-3920
LAURA ANN CUMBY MA CCC-SLP
Speech-Language Pathologist
777 PARK AVE W, ROOM 2102
HIGHLAND PARK, IL 60035
Lake County (847) 480-3920
MS. IRIS NUNAG PA-C
Physician Assistant
777 PARK AVE W, DEPARTMENT OF SURGERY
HIGHLAND PARK, IL 60035
Lake County (847) 926-5844
EMILY ANNE KOHLER PA-C
Physician Assistant
777 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 432-8000
ANGELA MARIE PECORA PA-C
Physician Assistant (Surgical)
777 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 432-8000
MRS. JOVI-ANNE C. MYERS APN-CNP
Nurse Practitioner
777 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 570-2714
NATALIA JIVKOVA ANGELOV
Nurse Practitioner
777 PARK AVE W
HIGHLAND PARK, IL 60035
Lake County (847) 480-3727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Nishimoto's NPI number?

The NPI number for Rebecca Nishimoto is 1073624664. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Rebecca Nishimoto located?

Rebecca Nishimoto practices at 777 Park Ave W, Highland Park, IL 60035. The listed phone number is (847) 926-5844.

What is Rebecca Nishimoto's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Rebecca Nishimoto enrolled in Medicare?

Yes. Rebecca Nishimoto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Rebecca Nishimoto affiliated with any hospitals?

According to CMS data, Rebecca Nishimoto is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Rebecca Nishimoto was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.