STEPHANIE OSBORNE (PA-C) – Physician Assistant, NPI 1114618097

STEPHANIE OSBORNE (PA-C) is a healthcare provider. based in Maywood, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085.009851 (IL). The NPI Number for STEPHANIE OSBORNE (PA-C) is 1114618097

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE OSBORNE (PA-C)
NPI
1114618097
Phone
(708) 548-8732
Address
1907 HARRISON ST
Enumeration Date
19 May 2023
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8476665339
Graduation Year
2023 (3 years ago)
PAC ID
5193171759
Group Practice PAC ID
0840558094
Professional Enrollment ID
I20231102001531
Address ID
IL600054142AR2101XRDXX503
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for STEPHANIE OSBORNE (PA-C)

  • 1907 HARRISON ST

    MAYWOOD, IL 601532901

    Phone: (708) 548-8732

    Type: Mailing

  • 2101 S ARLINGTON HEIGHTS RD STE 116

    ARLINGTON HEIGHTS, IL 600054142

    Phone: (847) 666-5339

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $778.

Total Amount is formed as General ($778) + Research ($0) + Ownership ($0) = $778.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($187).

Total Amount

$778

General + Research + Ownership

Payments

37

Total payment records

General Amount

$778

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2023-11-02

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
I20231102001531IPhysician 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 60153)

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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: 0840558094View full group profile
NameSpecialtyState
Physician AssistantIL
Physician AssistantIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Physician AssistantOK
Physician AssistantIL
-IL
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

How do I look up STEPHANIE OSBORNE (PA-C) by NPI?
Use NPI 1114618097 when you need to reference STEPHANIE OSBORNE (PA-C) in forms, claims, or directories.
Is STEPHANIE OSBORNE (PA-C) active in the national directory?
STEPHANIE OSBORNE (PA-C)'s public NPI profile is in an active state.
What does STEPHANIE OSBORNE (PA-C) treat or focus on?
Patients typically see STEPHANIE OSBORNE (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does STEPHANIE OSBORNE (PA-C) practice in Illinois?
You will see Maywood, Illinois on file for STEPHANIE OSBORNE (PA-C) alongside any extra practice locations.
How can I contact STEPHANIE OSBORNE (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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