CARRIE S FORTMAN PAC
NPI 1336211549
Physician Assistant in Elgin, IL

Active since November 14, 2006
94.1/100
CMS Quality Rating
1600 N RANDALL RD, ELGIN, IL 60123(847) 214-5100(847) 289-5579 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2020, Jul 17, 2018 (2 updates tracked since 2018).

About Carrie S Fortman Pac NPPES

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

CARRIE S FORTMAN PAC (NPI 1336211549) is an individual physician assistant in Elgin, Illinois, licensed in Illinois (085001080) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1336211549
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARRIE S FORTMANCredential: PAC
Location Address1600 N RANDALL RDElgin, IL 60123
Mailing Address1600 N Randall RdElgin, IL 60123-7803 · (847) 214-5100 · Fax (847) 289-5579
Fax(847) 289-5579
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
NPI 1336211549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085001080
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.
1600 N RANDALL RD, Elgin, IL 60123

Other Identifiers 2

OtherF400138108IL · Medicare Individual Ptan
Other206147IL · Medicare Group Ptan

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
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
1600 N RANDALL RD
ELGIN, IL 60123
Internal Medicine
1600 N RANDALL RD, SUITE 155
ELGIN, IL 60123
Dermatology
1600 N RANDALL RD, SUITE 400
ELGIN, IL 60123
Internal Medicine
1600 N RANDALL RD
ELGIN, IL 60123
Dermatology
1600 N RANDALL RD, SUITE 400
ELGIN, IL 60123
Internal Medicine (Hematology & Oncology)
1600 N RANDALL RD, STE. 115
ELGIN, IL 60123
Orthopaedic Surgery
1600 N RANDALL RD
ELGIN, IL 60123
Physician Assistant (Medical)
1600 N RANDALL RD, SUITE 400
ELGIN, IL 60123

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 Carrie Fortman's NPI number?

The NPI number for Carrie Fortman is 1336211549. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Carrie Fortman located?

Carrie Fortman practices at 1600 N Randall Rd, Elgin, IL 60123. The listed phone number is (847) 214-5100.

What is Carrie Fortman's specialty?

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

When was this NPI record last updated?

The NPPES record for Carrie Fortman was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.