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LISA ANGELA NAMATAME PA-C
NPI 1447008255
Physician Assistant - Medical in Chicago, IL

Active since May 07, 2024PECOS Enrolled
3154 N CLARK ST, CHICAGO, IL 60657(773) 751-7800 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, May 7, 2024 (2 updates tracked since 2024).

About Lisa Angela Namatame Pa-c NPPES

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

LISA ANGELA NAMATAME PA-C (NPI 1447008255) is an individual medical provider in Chicago, Illinois, licensed in Illinois (085011393) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447008255
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLISA ANGELA NAMATAMECredential: PA-C
Location Address3154 N CLARK STChicago, IL 60657-4437
Mailing Address3154 N Clark StChicago, IL 60657-4437 · (773) 751-7800
Phone(773) 751-7800
Sole ProprietorYes
Enumeration DateMay 7, 2024
Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1447008255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 085011393
3154 N CLARK ST, Chicago, IL 60657
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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 (PECOS)

Lisa Angela Namatame Pa-c 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.

Other Providers at the Same Location NPPES 6

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

OBIAGELI MOJEKWU
Nurse Practitioner (Psychiatric/Mental Health)
3154 N CLARK ST
CHICAGO, IL 60657
Cook County (773) 742-7016
TAPESTRY 360 HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
3154 N CLARK ST
CHICAGO, IL 60657
Cook County (773) 751-7800
DR. HINDRIK JAN PRENGER DNP, FNP-BC
Nurse Practitioner (Family)
3154 N CLARK ST
CHICAGO, IL 60657
Cook County (773) 751-7800
RACHEL PROCH APRN, CNM
Advanced Practice Midwife
3154 N CLARK ST
CHICAGO, IL 60657
Cook County (773) 751-7800
ANNA LUCAS APRN
Nurse Practitioner (Psychiatric/Mental Health)
3154 N CLARK ST
CHICAGO, IL 60657
Cook County (773) 296-7580
DR. ANUJ KUMAR SHAH MD, MPH
Family Medicine
3154 N CLARK ST
CHICAGO, IL 60657
Cook County (312) 666-3494

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 Namatame's NPI number?

The NPI number for Lisa Namatame is 1447008255. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Lisa Namatame located?

Lisa Namatame practices at 3154 N Clark St, Chicago, IL 60657. The listed phone number is (773) 751-7800.

What is Lisa Namatame's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lisa Namatame enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Namatame was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.