ALYSSA BOBAK PA-C
NPI 1700256716
Physician Assistant in Chicago, IL

Q: What is Alyssa Bobak's NPI number?

The NPI number for Alyssa Bobak is 1700256716. It was assigned to this individual provider in the NPPES registry on October 2, 2015.

Q: What is Alyssa Bobak'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 Alyssa Bobak was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 02, 2015PECOS EnrolledAccepts Medicare Assignment

3665 N BROADWAY ST, CHICAGO, IL 60613(773) 496-4433 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 11, 2019, Oct 2, 2015 (2 updates tracked since 2015).

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About Alyssa Bobak Pa-c NPPES

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

ALYSSA BOBAK PA-C (NPI 1700256716) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.005660) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1700256716

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALYSSA BOBAKCredential: PA-C

Location Address3665 N BROADWAY STChicago, IL 60613-4567

Mailing Address1 E Superior St Ste 306Chicago, IL 60611-2595 · (312) 754-9404 · Fax (312) 754-9402

Phone(773) 496-4433

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 2, 2015

Last NPPES UpdateApril 11, 20192 updates tracked since enumeration

✔ NPI 1700256716 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 · 085.005660

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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Secondary Practice Locations 2

Location 12453 N Racine Ave, Apt 1Chicago, IL 60614-8760 · Phone (412) 680-1311

Location 21 E Superior St Ste 306Chicago, IL 60611 · Phone (312) 754-9404 · Fax (312) 754-9402

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Alyssa Bobak 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 ID1557664034

PECOS Enrollment IDI20160115000872

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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

98 services15 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

95 services15 patients

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)