VERONIKA R SPEEDWELL (PA) – Physician Assistant, NPI 1053817387

VERONIKA R SPEEDWELL (PA) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085006564 (IL). The NPI Number for VERONIKA R SPEEDWELL (PA) is 1053817387

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
VERONIKA R SPEEDWELL (PA)
NPI
1053817387
Phone
(773) 275-2586
Address
4009 N BROADWAY ST
Enumeration Date
4 April 2018
Last Update Date
27 September 2024

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
7733881600
Graduation Year
2015 (11 years ago)
PAC ID
2365775020
Group Practice PAC ID
1052203155
Professional Enrollment ID
I20200706000852
Address ID
IL606132010CH4025XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for VERONIKA R SPEEDWELL (PA)

  • 4009 N BROADWAY ST

    CHICAGO, IL 606132110

    Phone: (773) 275-2586

    Type: Location

  • 2700-2702, West Cortland Street, Logan Square, Chicago, Cook County, Illinois, 60639, United States

    CHICAGO, IL 606476691

    Phone: (773) 627-9295

    Type: Mailing

  • West Lawrence Avenue, Winnemac, Uptown, Chicago, Lake View Township, Cook County, Illinois, 9020, United States

    CHICAGO, IL 606405017

    Phone: (773) 275-2586

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $282.

Total Amount is formed as General ($282) + Research ($0) + Ownership ($0) = $282.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Gilead Sciences, Inc. ($153).

Total Amount

$282

General + Research + Ownership

Payments

7

Total payment records

General Amount

$282

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-07-06

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200706000852IPhysician AssistantILTBD

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 60613)

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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: 1052203155View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
Nurse PractitionerIL
Clinical Social WorkerIL
Family PracticeIL
-IL
Internal MedicineIL
Family PracticeMI
Physician AssistantIL

Reviews

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Frequently asked questions

Is VERONIKA R SPEEDWELL (PA) listed with a National Provider Identifier?
Yes — VERONIKA R SPEEDWELL (PA) has NPI 1053817387 on file in the registry.
Is VERONIKA R SPEEDWELL (PA) still an active registrant?
VERONIKA R SPEEDWELL (PA) carries an active NPI according to the public dataset.
What kind of doctor is VERONIKA R SPEEDWELL (PA)?
VERONIKA R SPEEDWELL (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for VERONIKA R SPEEDWELL (PA)?
Travel planning: use Chicago, Illinois as the reference point for VERONIKA R SPEEDWELL (PA), then confirm.
Can I trust this NPI listing for VERONIKA R SPEEDWELL (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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