MS. Lisa D Raderstorf, PA-C
MS. Lisa D Raderstorf, PA-C is a Physician Assistant in Granger, Indiana. Qualified in 2006, 20 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 20
- Licensed in
- MI
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
52500 Fir RdGranger, IN 46530-8579
Phone: (574) 271-0700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601006281 (MI) |
|---|
Record details
| NPI number | 1245421031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 6, 2007 |
| Last updated in NPPES | July 14, 2025 |
| Certification date | July 14, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | The South Bend Clinic Llc — 170 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 89 |
|---|---|
| Services billed | 235 |
| Average patient age | 73 |
Colleagues at The South Bend Clinic LLC
- Jon Blake Chadwell, MD Otolaryngology/Facial Plastic Surgery Physician · South Bend, IN
- Dr. Ebonee L Davis, MD Internal Medicine Physician · South Bend, IN
- MS. Natalie Ann Emmert Family Nurse Practitioner · South Bend, IN
- Emily Heasley, MD Obstetrics & Gynecology Physician · South Bend, IN
- Mr. Walter Douglas Kolmodin, DPM Podiatrist · Granger, IN
- Thomas Larsen, MD Family Medicine Physician · South Bend, IN
- Lisa Ann Lobel Registered Dietitian · Kalamazoo, MI
- Timothy W Noveroske, MD Vascular Surgery Physician · South Bend, IN
- Michael Pfeiffer, DO Student in an Organized Health Care Education/Training Program · South Bend, IN
- Jahanzeb Saeed, DO Rheumatology Physician · South Bend, IN
- Rita Schmid, MD Internal Medicine Physician · South Bend, IN
- Mr. Paul Brian Sexton, LCSW Social Worker · South Bend, IN
Other providers in Granger
-
Danielle Brown, PA
12340 Bittersweet Commons Blvd W, Granger, IN 46530-6959 · (574) 271-8610
-
Erinn C Fuller, PA-C
3221 Beacon Pkwy, Granger, IN 46530-7196 · (574) 647-1670
-
Nicole Joy Minnich
6913 N Main St, Granger, IN 46530-8039 · (574) 647-1500
-
MS. Amy Marie Pope, PA-C
6913 N Main St, Granger, IN 46530-8039 · (574) 647-1500
-
Kara Shrider
15663 Fieldcrest Ct, Granger, IN 46530-9079 · (574) 335-9197