ELIZABETH M VAN DOORN PA-C
NPI 1164046199
Physician Assistant in Chicago, IL

Q: What is Elizabeth Van Doorn's NPI number?

The NPI number for Elizabeth Van Doorn is 1164046199. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Q: What is Elizabeth Van Doorn's specialty?

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

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611(312) 664-3278(312) 695-5774 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2022, Jun 5, 2020 (2 updates tracked since 2020).

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About Elizabeth M Van Doorn Pa-c NPPES

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

ELIZABETH M VAN DOORN PA-C (NPI 1164046199) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085009021) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Northwestern University Feinberg Medical School (2022).

NPPES Registry Identity

NPI1164046199

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELIZABETH M VAN DOORNCredential: PA-C

Location Address675 N SAINT CLAIR ST STE 19-100Chicago, IL 60611-5969

Mailing Address675 N Saint Clair St Ste 19-100Chicago, IL 60611-5969 · (312) 664-3278 · Fax (312) 695-5774

Phone(312) 664-3278

Fax(312) 695-5774

Sole ProprietorYes

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2022

Enumeration DateJune 5, 2020

Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration

NPPES CertifiedOctober 5, 2022

✔ NPI 1164046199 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 · 085009021

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

675 N SAINT CLAIR ST STE 19-100, Chicago, IL 60611

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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 M Van Doorn 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 ID9133504699

PECOS Enrollment IDI20220920000350

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.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

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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.

LAURA JEAN DAVIDSON M.D.

Internal Medicine (Interventional Cardiology)