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LISA GAZDZIAK
NPI 1386310605
Nurse Practitioner - Family in Crystal Lake, IL

Active since August 17, 2021
82.3/100
CMS Quality Rating
1305 RANDALL RD, CRYSTAL LAKE, IL 60014(815) 356-0386 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 21, 2021, Aug 17, 2021 (2 updates tracked since 2021).

About Lisa Gazdziak NPPES

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

LISA GAZDZIAK (NPI 1386310605) is an individual family provider in Crystal Lake, Illinois, licensed in Illinois (209023595) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1386310605
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA GAZDZIAK
Location Address1305 RANDALL RDCrystal Lake, IL 60014-8601
Mailing Address1305 Randall RdCrystal Lake, IL 60014-8601 · (815) 356-0386
Phone(815) 356-0386
Sole ProprietorNo
Enumeration DateAugust 17, 2021
Last NPPES UpdateSeptember 21, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2021
✔ NPI 1386310605 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 · 209023595
1305 RANDALL RD, Crystal Lake, IL 60014
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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.

82.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.7
Improvement Activities40
Cost81.88

Other Providers at the Same Location NPPES 14

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

DR. KYLE SCHNEIDER PHARMD
Pharmacist
1305 RANDALL RD
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-0386
DONALDA PASHO
Pharmacist
1305 RANDALL RD
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-0386
GITA PATEL RPH
Pharmacist
1305 RANDALL RD
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-0386
DUSTIN YUHN PHARMD
Pharmacist
1305 RANDALL RD
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-0386
EDWARD SONG
Pharmacist
1305 RANDALL RD
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-0386
ELISA PARK
Pharmacist
1305 RANDALL RD
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-0386
MARINA JONES PHARMD
Pharmacist
1305 RANDALL RD
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-0386
ERIN WILLIAMS FNP-C
Nurse Practitioner
1305 RANDALL RD
CRYSTAL LAKE, IL 60014
McHenry County (815) 356-0386

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 Gazdziak's NPI number?

The NPI number for Lisa Gazdziak is 1386310605. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Lisa Gazdziak located?

Lisa Gazdziak practices at 1305 Randall Rd, Crystal Lake, IL 60014. The listed phone number is (815) 356-0386.

What is Lisa Gazdziak's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Gazdziak was last updated on September 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.