DR. PAUL DAVID RIESELMAN DC FNP-BC NPI 1679654974

NPI Information

  • NPI: 1679654974
  • Provider Name: DR. PAUL DAVID RIESELMAN, DC, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4513 LINCOLN AVE
    SUITE 212
    LISLE, IL
    ZIP 60532
  • Phone: (630) 795-1889

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NPI Details

DR. Paul David Rieselman, DC, FNP-BC is a family nurse practitioner in Lisle, IL with 14 years of experience. DR. Paul David Rieselman, DC, FNP-BC NPI is 1679654974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4513 LINCOLN AVE
SUITE 212
LISLE, IL
ZIP 60532-289
Phone: (630) 795-1889
Fax: (630) 281-2802

The NPI 1679654974 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)

The enumeration date for this NPI number is 10/17/2006 and was last updated on 12/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SF0001XClinical Nurse SpecialistFamily Health209009686ILLINOISNo
2364SA2200XClinical Nurse SpecialistAdult Health209009686ILLINOISNo
3364SC2300XClinical Nurse SpecialistChronic Care209009686ILLINOISNo
4364SH1100XClinical Nurse SpecialistHolistic209009686ILLINOISNo
5111N00000XChiropractor038010007ILLINOISNo
6364SN0800XClinical Nurse SpecialistNeuroscience209009686ILLINOISNo
7364SX0106XClinical Nurse SpecialistOccupational Health209009686ILLINOISNo
8364SR0400XClinical Nurse SpecialistRehabilitation209009686ILLINOISNo
9363LA2200XNurse PractitionerAdult Health209009686ILLINOISNo
10363LG0600XNurse PractitionerGerontology209009686ILLINOISNo
11363LP2300XNurse PractitionerPrimary Care209009686ILLINOISNo
12163WP0000XRegistered NursePain Management041384754ILLINOISNo
13171100000XAcupuncturist038010007ILLINOISNo
14111NX0800XChiropractorOrthopedic038010007ILLINOISNo
15363LF0000XNurse PractitionerFamily209009686ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U97446MEDICARE UPINILLINOIS
2K16881MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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