ELIZABETH K RANDOLPH PA-C
NPI 1083962229
Physician Assistant in Lake Forest, IL

Q: What is Elizabeth Randolph's NPI number?

The NPI number for Elizabeth Randolph is 1083962229. It was assigned to this individual provider in the NPPES registry on August 20, 2012.

Q: What is Elizabeth Randolph's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since August 20, 2012PECOS EnrolledAccepts Medicare Assignment

1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045(312) 695-1800(847) 535-7151 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Jan 17, 2022 (2 updates tracked since 2022).

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About Elizabeth K Randolph Pa-c NPPES

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

ELIZABETH K RANDOLPH PA-C (NPI 1083962229) is an individual physician assistant in Lake Forest, Illinois, licensed in Illinois (085004395) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Northwestern University Feinberg Medical School (2012).

NPPES Registry Identity

NPI1083962229

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELIZABETH K RANDOLPHCredential: PA-C

Location Address1000 N WESTMORELAND RD # LEVEL1Lake Forest, IL 60045-1658

Mailing Address1000 N Westmoreland Rd # Level1Lake Forest, IL 60045-1658 · (312) 695-1800 · Fax (847) 535-7151

Phone(312) 695-1800

Fax(847) 535-7151

Sole ProprietorYes

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2012

Enumeration DateAugust 20, 2012

Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1083962229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085004395

Definition

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085004395 (IL)

1000 N WESTMORELAND RD # LEVEL1, Lake Forest, IL 60045

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Elizabeth K Randolph 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 ID8224259015

PECOS Enrollment IDI20141020002295

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 2

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MICHAEL J KELLER M.D.

Internal Medicine (Pulmonary Disease)