LISA M GROSSMAN – Advanced Practice Midwife, NPI 1215392576

Advanced Practice Midwife

LISA M GROSSMAN is a healthcare provider. based in Park ridge, Illinois. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold a License No. 209.013705 (IL). The NPI Number for LISA M GROSSMAN is 1215392576

Main info

Female

11 Years Of Experience

Accepts Medicare Assignment

Name

LISA M GROSSMAN

NPI

1215392576

Phone

(847) 825-1100

Address

1875 DEMPSTER ST

Enumeration Date

30 December 2015

Last Update Date

19 September 2022

Doctor Profile

Medical School Name

UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)

Secondary Phone

8477238640

Graduation Year

2015 (11 years ago)

PAC ID

1850690686

Group Practice PAC ID

7810800935

Professional Enrollment ID

I20160429000813

Address ID

IL600681186PA1875XSTXX300

Contacts

Secure Messaging

lgrossman251720@direct.myadvocateaurora.org

FHIR Endpoint

https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience53

Completeness85

Years active:10State licenses:2Other namesUpdated within 12 months

236 CERTIFIED NURSE MIDWIFE (CNM) in IL

Provider Addresses for LISA M GROSSMAN

1875 DEMPSTER ST
SUITE 465
PARK RIDGE, IL 600681129
Phone: (847) 825-1100
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731129
Phone: (847) 390-5900
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20160429000813	I	Certified Nurse Midwife (Cnm)	IL	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7810800935View full group profile

Name	Specialty	State
DARSHIKA CHHABRA (MD)	Nephrology, Internal Medicine	IL
DR. ANNA MAE STEGEMANN (D.O.)	A N E S T H E S I O L O G Y	IL
ANGELIKA ALEXANDRA FOLEY (APN)	-	MN
MS. SUSAN A MACK (APRN-FPA)	-	IL
BETH MARIE HILLMAN (DO)	-	IL
MIHAELA MIHAILESCU (MD)	Rheumatology, Internal Medicine	IL
MR. DAVID AMBROSE HODGSON (L.C.S.W.)	-	IL
WILLIAM T O'ROURKE (MD)	Internal Medicine	IL
DR. UTPAL H DHRUVE (M.D.)	P S Y C H I A T R Y	IL
DR. PHILIPPE TAPON (M.D.)	-	IL