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MRS. ELISE LAUDERDALE ANP
NPI 1841603917
Nurse Practitioner - Adult Health in Chicago, IL

Active since June 06, 2014PECOS EnrolledAccepts Medicare Assignment
5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-1000(773) 926-0852 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Elise Lauderdale Anp NPPES

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

MRS. ELISE LAUDERDALE ANP (NPI 1841603917) is an individual adult health provider in Chicago, Illinois, licensed in Illinois (209010248) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2012).

NPPES Registry Identity

NPI1841603917
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. ELISE LAUDERDALECredential: ANP
Location Address5841 S MARYLAND AVEChicago, IL 60637-1447
Mailing Address5841 S Maryland AveChicago, IL 60637-1447 · (773) 702-1000 · Fax (773) 926-0852
Phone(773) 702-1000
Fax(773) 926-0852
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2012
Enumeration DateJune 6, 2014
Last NPPES UpdateMarch 16, 2017
✔ NPI 1841603917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in IL · 209010248✔ Licensed in PA · SP013050
5841 S MARYLAND AVE, Chicago, IL 60637
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Elise Bowman Rn

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

Mrs. Elise Lauderdale Anp 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 ID3274759063
PECOS Enrollment IDI20140731001645
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 Elise Lauderdale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
Same address
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 635 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
Same address
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200

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.

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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.

DR. DON MARTINEZ M.D.
Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 926-8318
ALEXANDRA DUMITRESCU
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
PELEG HOROWITZ
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
SANDEEP GURBUXANI
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
DR. NIREN GANDRA M.D.
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-0240
ALLIE DAKROUB MD MS
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
SCOTT VASHER MD
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. NATHAN CHARLES NOWALK M.D.
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200

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 Elise Lauderdale's NPI number?

The NPI number for Elise Lauderdale is 1841603917. It was assigned to this individual provider in the NPPES registry on June 6, 2014. The provider is also known as Miss Elise Bowman Rn.

Where is Elise Lauderdale located?

Elise Lauderdale practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (773) 702-1000.

What is Elise Lauderdale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Elise Lauderdale enrolled in Medicare?

Yes. Elise Lauderdale 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 Elise Lauderdale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Lauderdale reassigns Medicare benefits to 2 organizations: The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, 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 Elise Lauderdale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Elise Lauderdale affiliated with any hospitals?

According to CMS data, Elise Lauderdale is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Elise Lauderdale was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.