TAYLOR MARIE SACHTLEBEN (PA-C) – Physician Assistant, NPI 1043770589
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for TAYLOR MARIE SACHTLEBEN (PA-C)
675 N Saint Clair St Ste 14-100
Chicago, IL 606115966
Phone: (312) 695-7970
Fax: (312) 695-4433
Type: Location
McKinley Health Center, 2166, Madison Avenue, Nameoki, Granite City, Madison County, Illinois, 62040, United States
GRANITE CITY, IL 620404700
Phone: (618) 452-3301
Type: Mailing
675 N SAINT CLAIR ST STE 14-100
CHICAGO, IL 606115966
Phone: (312) 695-7970
Fax: (312) 695-4433
Type: Mailing
PO BOX 959354
SAINT LOUIS, MO 631959354
Phone: (314) 996-7220
Fax: (314) 996-7225
Type: Mailing
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 631312324
Phone: (314) 996-7220
Fax: (314) 996-7225
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,067.
Total Amount is formed as General ($1,067) + Research ($0) + Ownership ($0) = $1,067.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: ABBVIE INC. ($420).
Total Amount
$1,067
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,067
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-01-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190708001109 | I | Physician Assistant | IL | TBD |
| I20240104000332 | I | Physician Assistant | MO | 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.
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 60611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Anesthesiology, Pain Management | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| A N E S T H E S I O L O G Y | MI |
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