Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Olivia M Niepsuj, PA-C

Individual provider Physician Assistant · NPI 1245887256

Olivia M Niepsuj, PA-C is a Physician Assistant in Lake Forest, Illinois. Qualified in 2020, 6 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

800 N Westmoreland Rd Ste 100
Lake Forest, IL 60045-1671
Phone: (847) 535-7657
Fax: (847) 998-9303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2701 Patriot Blvd, Glenview, IL 60026-8039 — (847) 535-7657

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085007686 (IL)

Record details

NPI number1245887256
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2019
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

Other providers in Lake Forest