LISA M DAUL RUBEN PA-C
NPI 1528516762
Physician Assistant in Chicago, IL

Q: What is Lisa Daul Ruben's NPI number?

The NPI number for Lisa Daul Ruben is 1528516762. It was assigned to this individual provider in the NPPES registry on September 16, 2016.

Q: What is Lisa Daul Ruben'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 Lisa Daul Ruben was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 16, 2016PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

259 E ERIE ST STE 1600, CHICAGO, IL 60611(312) 695-6868 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2022, Aug 2, 2019, Sep 16, 2016 (3 updates tracked since 2016).

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About Lisa M Daul Ruben Pa-c NPPES

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

LISA M DAUL RUBEN PA-C (NPI 1528516762) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085006020) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1528516762

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLISA M DAUL RUBENCredential: PA-C

Location Address259 E ERIE ST STE 1600Chicago, IL 60611-3111

Mailing Address259 E Erie St Ste 1600Chicago, IL 60611-3111 · (312) 695-6868 · Fax (312) 695-2729

Phone(312) 695-6868

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 16, 2016

Last NPPES UpdateFebruary 8, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2022

✔ NPI 1528516762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085006020

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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

259 E ERIE ST STE 1600, Chicago, IL 60611

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Secondary Practice Location 1

Location 12650 Ridge AveEvanston, IL 60201-1718 · Phone (847) 570-1271 · Fax (847) 570-2930

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

Lisa M Daul Ruben 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 ID9931497708

PECOS Enrollment IDI20161011001086

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.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

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

Quality

82.59

Promoting Interoperability

100

Improvement Activities

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.

ATHENA CROWLEY APRN, CNP

Nurse Practitioner