STEVIE NICOLE FUNK (PA-C) – Physician Assistant, NPI 1104285196

STEVIE NICOLE FUNK (PA-C) is a healthcare provider. based in Oak lawn, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085005780 (IL). The NPI Number for STEVIE NICOLE FUNK (PA-C) is 1104285196

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
STEVIE NICOLE FUNK (PA-C)
NPI
1104285196
Phone
(708) 907-4355
Address
5660 W 95th St
Enumeration Date
18 February 2016
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7739891606
Graduation Year
2016 (10 years ago)
PAC ID
1254637564
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20160314000922
Address ID
IL606253661CH5145XAVEX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for STEVIE NICOLE FUNK (PA-C)

  • 5660 W 95th St

    Oak Lawn, IL 604532380

    Phone: (708) 907-4355

    Type: Location

  • 3 Erie Ct

    Oak Park, IL 603022519

    Phone: (708) 763-6747

    Type: Location

  • 5140 N CALIFORNIA AVE

    CHICAGO, IL 606253645

    Phone: (773) 271-4444

    Fax: (773) 271-5912

    Type: Mailing

  • 12935, Gregory Street, Blue Island, Calumet Township, Cook County, Illinois, 60406, United States

    BLUE ISLAND, IL 604062428

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($100).

Total Amount

$100

General + Research + Ownership

Payments

1

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$100
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: 2016-03-14

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
I20160314000922IPhysician 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 minutes6360$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
81002Urinalysis, manual test2019$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1413$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1111$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Does STEVIE NICOLE FUNK (PA-C) have a public NPI I can cite?
Public records show STEVIE NICOLE FUNK (PA-C) under NPI 1104285196.
Does the public listing show STEVIE NICOLE FUNK (PA-C) as active?
STEVIE NICOLE FUNK (PA-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits STEVIE NICOLE FUNK (PA-C)?
NPPES ties STEVIE NICOLE FUNK (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to STEVIE NICOLE FUNK (PA-C)?
The directory associates STEVIE NICOLE FUNK (PA-C) with Oak Lawn, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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