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LISA M DE ZOUTE APRN, CNP
NPI 1730569088
Nurse Practitioner - Gerontology in Chicago, IL

Active since June 02, 2015PECOS EnrolledAccepts Medicare Assignment
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611(312) 664-3278(312) 695-5774 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2022, Jul 30, 2018 (2 updates tracked since 2018).

About Lisa M De Zoute Aprn, Cnp NPPES

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

LISA M DE ZOUTE APRN, CNP (NPI 1730569088) is an individual gerontology provider in Chicago, Illinois, licensed in Illinois (209012809) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1730569088
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLISA M DE ZOUTECredential: APRN, CNP
Location Address675 N SAINT CLAIR ST STE 19-100Chicago, IL 60611-5969
Mailing Address675 N Saint Clair St Ste 19-100Chicago, IL 60611-5969 · (312) 664-3278 · Fax (312) 695-5774
Phone(312) 664-3278
Fax(312) 695-5774
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 2, 2015
Last NPPES UpdateMay 4, 20222 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1730569088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 209012809
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 209012809 (IL)
675 N SAINT CLAIR ST STE 19-100, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Location 1

Location 1675 N Saint Clair St Fl 10Chicago, IL 60611-5975 · Phone (312) 664-3278 · Fax (312) 695-5774

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa M De Zoute Aprn, Cnp 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 ID9830403989
PECOS Enrollment IDI20150803000948
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa De Zoute reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shahbain Internal Medicine Ltd
19 mi
Internal Medicine
12508 S HARLEM AVE, SUITE C
Palos Heights, IL 60463
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1295924439 (708) 349-0055
Northwestern Medical Faculty Foundation
35 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

LAURA J DAVIDSON M.D.
Internal Medicine (Interventional Cardiology)
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Cook County (312) 664-3278
ALISON C BATES PA-C
Physician Assistant
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Cook County (312) 664-3278
MICHAEL JAMES GABER AGACNP-BC
Nurse Practitioner
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Cook County (312) 664-3278
REBEKKAH SOBOLEWSKI
Nurse Practitioner
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Cook County (312) 695-4965
DR. PRIYA FREANEY M.D.
Internal Medicine (Cardiovascular Disease)
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Cook County (312) 695-4965
KERRY SHANKLIN FNP
Nurse Practitioner (Family)
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Cook County (312) 664-3278
ANTHONY JACOB SPYCHALSKI APRN, AGACNP-BC
Nurse Practitioner
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Cook County (312) 664-3278
EMILY KATHERINE BRAKMAN APRN, CNP
Nurse Practitioner
675 N SAINT CLAIR ST STE 19-100
CHICAGO, IL 60611
Cook County (312) 664-3278

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 De Zoute's NPI number?

The NPI number for Lisa De Zoute is 1730569088. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Where is Lisa De Zoute located?

Lisa De Zoute practices at 675 N Saint Clair St Ste 19-100, Chicago, IL 60611. The listed phone number is (312) 664-3278.

What is Lisa De Zoute's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lisa De Zoute enrolled in Medicare?

Yes. Lisa De Zoute is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lisa De Zoute's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa De Zoute reassigns Medicare benefits to 2 organizations: Shahbain Internal Medicine Ltd (Palos Heights, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa De Zoute's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lisa De Zoute affiliated with any hospitals?

According to CMS data, Lisa De Zoute is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa De Zoute was last updated on May 4, 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.