LINDSEY R DOLEZAL PA-C
NPI 1356693006
Physician Assistant - Surgical in Skokie, IL

Q: What is Lindsey Dolezal's NPI number?

The NPI number for Lindsey Dolezal is 1356693006. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Q: What is Lindsey Dolezal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Lindsey Dolezal was last updated on March 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 04, 2012PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

9650 GROSS POINT RD STE 2900, SKOKIE, IL 60076(847) 866-7846(224) 251-2905 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 23, 2026, Feb 21, 2018 (2 updates tracked since 2018).

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About Lindsey R Dolezal Pa-c NPPES

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

LINDSEY R DOLEZAL PA-C (NPI 1356693006) is an individual surgical provider in Skokie, Illinois, licensed in Illinois (085004954) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1356693006

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameLINDSEY R DOLEZALCredential: PA-C

Location Address9650 GROSS POINT RD STE 2900Skokie, IL 60076-5006

Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040 · Fax (847) 733-5315

Phone(847) 866-7846

Fax(224) 251-2905

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 4, 2012

Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1356693006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085004954

Also ListedPhysician AssistantTaxonomy 363A00000X · License 5275 (AZ), 085.004954 (IL)

9650 GROSS POINT RD STE 2900, Skokie, IL 60076

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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

Lindsey R Dolezal 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 ID1951554930

PECOS Enrollment IDI20140415000494

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

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.

93.08/100

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

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$86.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. JOSHUA BRICE M.D.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)