EMILY LYN STREET
NPI 1518587286
Physician Assistant in Chicago, IL

Q: What is Emily Street's NPI number?

The NPI number for Emily Street is 1518587286. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Q: What is Emily Street's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emily Street was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment

3665 N BROADWAY ST, CHICAGO, IL 60613(219) 309-4109 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 19, 2021, Apr 22, 2020 (2 updates tracked since 2020).

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About Emily Lyn Street NPPES

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

EMILY LYN STREET (NPI 1518587286) is an individual physician assistant in Chicago, Illinois and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Southern Illinois University School Of Medicine (2020).

NPPES Registry Identity

NPI1518587286

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameEMILY LYN STREET

Location Address3665 N BROADWAY STChicago, IL 60613-4567

Mailing Address3665 N Broadway StChicago, IL 60613-4567

Phone(219) 309-4109

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2020

Enumeration DateApril 22, 2020

Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration

NPPES CertifiedNovember 23, 2020

✔ NPI 1518587286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

3665 N BROADWAY ST, Chicago, IL 60613

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Emily Lyn Street 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 ID8921414657

PECOS Enrollment IDI20210304000821

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.

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HATTIE NEWELL AWE

Counselor (Mental Health)