LISA J GUZMAN NP
NPI 1790886257
Nurse Practitioner - Family in Oak Lawn, IL

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
4440 W 95TH ST FL 8, OAK LAWN, IL 60453(708) 684-4200(708) 520-1885 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Dec 15, 2021, Oct 1, 2020 and 2 more (5 updates tracked since 2018).

About Lisa J Guzman Np NPPES

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

LISA J GUZMAN NP (NPI 1790886257) is an individual family provider in Oak Lawn, Illinois, licensed in Illinois (209-010163) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790886257
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA J GUZMANCredential: NP
Location Address4440 W 95TH ST FL 8Oak Lawn, IL 60453-2600
Mailing Address29373 Network PlChicago, IL 60673-1293
Fax(708) 520-1885
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 9, 20255 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1790886257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 209-010163✔ Licensed in IN · 70000128A
4440 W 95TH ST FL 8, Oak Lawn, IL 60453

Secondary Practice Locations 2

Location 19925 Margo Ln, Suite 1Munster, IN 46321-9115 · Phone (219) 554-0688 · Fax (219) 554-0688
Location 21520 Provident DrWarsaw, IN 46580-3291 · Phone (574) 372-3800 · Fax (574) 372-3810

Other Identifiers 3

Other199790IN · Mcare Part A Prov #
Other626820IN · Mcare Group Prov #
Other437901IL · Mcare Group Prov #

Accepted Insurance

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 J Guzman Np 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 ID2769394626
PECOS Enrollment IDI20141211002112
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 Reassignment

Medicare enrollment records show Lisa Guzman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Specialty
4440 W 95TH ST
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group

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

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 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.
92 services56 patients

Hospital Affiliations CMS Care Compare

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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.

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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Physician Assistant
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Nurse Practitioner (Family)
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Internal Medicine (Hematology & Oncology)
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Internal Medicine (Medical Oncology)
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Internal Medicine (Hematology & Oncology)
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Nurse Practitioner
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Nurse Practitioner
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Physician Assistant
4440 W 95TH ST FL 8
OAK LAWN, IL 60453

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 Guzman's NPI number?

The NPI number for Lisa Guzman is 1790886257. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Lisa Guzman located?

Lisa Guzman practices at 4440 W 95th St Fl 8, Oak Lawn, IL 60453. The listed phone number is (708) 684-4200.

What is Lisa Guzman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Guzman enrolled in Medicare?

Yes. Lisa Guzman 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 organization bills Medicare for Lisa Guzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Guzman reassigns Medicare benefits to Advocate Health & Hospitals Corporation (Oak Lawn, IL). The 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 Guzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Guzman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Lisa Guzman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisa Guzman affiliated with any hospitals?

According to CMS data, Lisa Guzman is affiliated with Advocate Trinity Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Guzman was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.