MICHAEL LA PA-C
NPI 1528615101
Physician Assistant in Evanston, IL

Q: What is Michael La's NPI number?

The NPI number for Michael La is 1528615101. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Q: What is Michael La'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 Michael La was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 20, 2019PECOS Enrolled

1000 CENTRAL ST STE 640, EVANSTON, IL 60201(847) 982-6710 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2021, May 16, 2020, Aug 20, 2019 (3 updates tracked since 2019).

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About Michael La Pa-c NPPES

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

MICHAEL LA PA-C (NPI 1528615101) is an individual physician assistant in Evanston, Illinois, licensed in Illinois (085008014) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Lunas.

NPPES Registry Identity

NPI1528615101

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICHAEL LACredential: PA-C

Location Address1000 CENTRAL ST STE 640Evanston, IL 60201-1780

Mailing Address2650 Ridge AveEvanston, IL 60201-1700

Phone(847) 982-6710

Sole ProprietorNo

Enumeration DateAugust 20, 2019

Last NPPES UpdateMay 23, 20243 updates tracked since enumeration

NPPES CertifiedMay 23, 2024

✔ NPI 1528615101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085008014

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.

1000 CENTRAL ST STE 640, Evanston, IL 60201

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Secondary Practice Location 1

Location 11202 Main St NE Ste ALos Lunas, NM 87031-7421 · Phone (505) 565-0070 · Fax (505) 565-0978

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael La 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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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 6

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

THERESA MARIE KOPITZKE LCPC

Counselor (Professional)