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LISA RADVILLE APN
NPI 1164544813
Nurse Practitioner - Family in Chicago, IL

Active since April 04, 2007PECOS Enrolled
1747 W ROOSEVELT RD FL 5, CHICAGO, IL 60608(312) 226-3288(312) 996-3848 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Radville Apn NPPES

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

LISA RADVILLE APN (NPI 1164544813) is an individual family provider in Chicago, Illinois, licensed in Illinois (209006073) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164544813
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA RADVILLECredential: APN
Location Address1747 W ROOSEVELT RD FL 5Chicago, IL 60608-1264
Mailing Address435 N Kensington AveLa Grange Park, IL 60526-1873 · (708) 209-0221
Phone(312) 226-3288
Fax(312) 996-3848
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateMarch 1, 2012
✔ NPI 1164544813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209006073
1747 W ROOSEVELT RD FL 5, Chicago, IL 60608
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Radville Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lisa Radville reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Board Of Trustees Of The University Of Illinois
0.1 mi
Family Medicine
1919 W TAYLOR ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1215156344 (312) 996-2901
Advocate Health & Hospitals Corp.
2.1 mi
Emergency Medicine
3435 W VAN BUREN ST
Chicago, IL 60624
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1750315545 (773) 265-3583
Premise Health Of Illinois Medical PC
12 mi
Multi-Specialty
6150 JOLIET RD
Countryside, IL 60525
  • Reassigned Medicare billing, Illinois enrollment
  • 66 clinicians in this Medicare group
NPI 1083006001 (708) 485-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lisa Radville's NPI number?

The NPI number for Lisa Radville is 1164544813. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Lisa Radville located?

Lisa Radville practices at 1747 W Roosevelt Rd Fl 5, Chicago, IL 60608. The listed phone number is (312) 226-3288.

What is Lisa Radville's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Radville enrolled in Medicare?

Yes. Lisa Radville is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Radville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Radville reassigns Medicare benefits to 3 organizations: The Board Of Trustees Of The University Of Illinois (Chicago, IL), Advocate Health & Hospitals Corp. (Chicago, IL) and Premise Health Of Illinois Medical PC (Countryside, IL). Each 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 Lisa Radville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Radville was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.