MS. LASHONDA STOCKLEY – Family Nurse Practitioner, NPI 1104579655

MS. LASHONDA STOCKLEY is a healthcare provider. based in Bloomingdale, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209.024287 (IL). The NPI Number for MS. LASHONDA STOCKLEY is 1104579655

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. LASHONDA STOCKLEY
NPI
1104579655
Phone
(224) 653-9507
Address
1 TIFFANY PT STE 106
Enumeration Date
3 February 2022
Last Update Date
3 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2246539507
Graduation Year
2020 (6 years ago)
PAC ID
5597142968
Group Practice PAC ID
3870922115
Professional Enrollment ID
I20220524003245
Address ID
IL601082915BL1XXXXPTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MS. LASHONDA STOCKLEY

  • 1 TIFFANY PT STE 106

    BLOOMINGDALE, IL 601082915

    Phone: (224) 653-9507

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-05-24

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
I20220524003245INurse PractitionerILTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes25682$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes19162$0
99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month16829$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month9528$0
99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month7630$0
View full utilization report →

Insurance plans in this area (ZIP 60108)

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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: 3870922115View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL

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Frequently asked questions

What unique ID ties claims to MS. LASHONDA STOCKLEY?
NPI 1104579655 is assigned to MS. LASHONDA STOCKLEY under the national enumeration system.
Is MS. LASHONDA STOCKLEY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MS. LASHONDA STOCKLEY treat or focus on?
Patients typically see MS. LASHONDA STOCKLEY under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. LASHONDA STOCKLEY?
The page summarizes Bloomingdale, Illinois for MS. LASHONDA STOCKLEY; expand the address list for detail.
Is MS. LASHONDA STOCKLEY a real provider?
This page reflects official NPPES data for NPI 1104579655. Always confirm identity and privileges with the practice and licensing boards.

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