AUTUMN ROSE ROLAND (PA-C) – Physician Assistant, NPI 1073842993

AUTUMN ROSE ROLAND (PA-C) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085003654 (IL). The NPI Number for AUTUMN ROSE ROLAND (PA-C) is 1073842993

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
AUTUMN ROSE ROLAND (PA-C)
NPI
1073842993
Phone
(630) 469-9200
Address
PO BOX 713260
Enumeration Date
24 December 2009
Last Update Date
26 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6304326180
Graduation Year
2009 (17 years ago)
PAC ID
9335324516
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20110503000834
Address ID
IL605321348LI430XXRDXX307

Contacts

Secure Messaging
aroland11964@direct.edward.org
Secure Messaging
aroland11964@dulyhealthandcare.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

5,067 PHYSICIAN ASSISTANT in IL

Provider Addresses for AUTUMN ROSE ROLAND (PA-C)

  • PO BOX 713260

    CHICAGO, IL 606771260

    Phone: (630) 469-9200

    Type: Mailing

  • 25 N WINFIELD RD STE 405

    WINFIELD, IL 601901379

    Phone: (630) 790-1221

    Fax: (630) 653-1091

    Type: Location

  • 416, Western Avenue, Wheaton, DuPage County, Illinois, 60187, United States

    WHEATON, IL 601874071

    Phone: (920) 382-2052

    Fax: (847) 981-5580

    Type: Mailing

  • Ascension Alexian Brothers Medical Center, 800, Biesterfield Road, Elk Grove Village, Elk Grove Township, Cook County, Illinois, 60007, United States

    SUITE # 106

    ELK GROVE VILLAGE, IL 600073372

    Phone: (847) 981-8866

    Fax: (847) 981-5580

    Type: Location

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606740018

    Phone: (630) 469-9200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $508.

Total Amount is formed as General ($508) + Research ($0) + Ownership ($0) = $508.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($202).

Total Amount

$508

General + Research + Ownership

Payments

13

Total payment records

General Amount

$508

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2011-05-03

PECOS data refreshed: 2026-06-15

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
I20110503000834IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3220$0
81003Automated urinalysis test3022$0
36415Insertion of needle into vein for collection of blood sample1713$0
51798Ultrasound measurement of bladder capacity after voiding1512$0
99214Established patient office or other outpatient visit, 30-39 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 60677)

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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: 5496667941View full group profile

Reviews

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Frequently asked questions

What NPI should I save for AUTUMN ROSE ROLAND (PA-C)?
Save NPI 1073842993 if you need a stable reference for AUTUMN ROSE ROLAND (PA-C).
Does this profile mean AUTUMN ROSE ROLAND (PA-C) is currently active?
Yes — AUTUMN ROSE ROLAND (PA-C) appears active in the national provider directory.
Does AUTUMN ROSE ROLAND (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for AUTUMN ROSE ROLAND (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for AUTUMN ROSE ROLAND (PA-C)?
We surface Chicago, Illinois for AUTUMN ROSE ROLAND (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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