NORTHSTAR INTEGRATED HEALTH & PHYSICAL MEDICINE CENTER, S.C.
NPI 1073869574
Nurse Practitioner - Family in Lisle, IL
About Northstar Integrated Health & Physical Medicine Center, S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHSTAR INTEGRATED HEALTH & PHYSICAL MEDICINE CENTER, S.C. (NPI 1073869574) is a healthcare organization registered as a family in Lisle, Illinois and active in the NPI registry since August 2012. The organization lists Paul Rieselman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 11
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northstar Integrated Health & Physical Medicine Center, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Northstar Integrated Health & Physical Medicine Center, S.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Northstar Integrated Health & Physical Medicine Center, S.C.'s NPI number?
The NPI number for Northstar Integrated Health & Physical Medicine Center, S.C. is 1073869574. It was assigned to this organization in the NPPES registry on August 2, 2012.
Where is Northstar Integrated Health & Physical Medicine Center, S.C. located?
Northstar Integrated Health & Physical Medicine Center, S.C. is located at 4513 Lincoln Ave #212, Lisle, IL 60532. The listed phone number is (630) 795-1889.
What is Northstar Integrated Health & Physical Medicine Center, S.C.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Northstar Integrated Health & Physical Medicine Center, S.C. enrolled in Medicare?
Yes. Northstar Integrated Health & Physical Medicine Center, S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northstar Integrated Health & Physical Medicine Center, S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Northstar Integrated Health & Physical Medicine Center, S.C., in General Practice, Nurse Practitioner and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Northstar Integrated Health & Physical Medicine Center, S.C. was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Northstar Integrated Health & Physical Medicine Center, S.c. · NPI 1073869574
Family organization in Lisle, Illinois. Organization record, active in the CMS NPPES registry since August 2, 2012.
## Identity
- **NPI:** 1073869574 (Entity type: Organization)
- **Enumerated:** August 2, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Paul Rieselman, OWNER
## Practice location
- **Address:** 4513 LINCOLN AVE, #212, Lisle, IL 60532-1289
- **Phone:** (630) 795-1889
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Nurse Practitioner (1), Physical Medicine and Rehabilitation (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1073869574) · Data from the CMS NPPES public registry.