BLESSING SHORT (PA-C) – Physician Assistant, NPI 1144037672
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for BLESSING SHORT (PA-C)
11560 S Kedzie Ave Ste 100
Merrionette Park, IL 608034517
Phone: (708) 824-1114
Fax: (708) 824-9341
Type: Location
2121 Oneida St Ste 202
Joliet, IL 604356550
Phone: (815) 823-8200
Fax: (815) 823-8201
Type: Location
10260 191st St Ste 102
Mokena, IL 604488802
Phone: (708) 478-4224
Fax: (708) 478-4033
Type: Location
3231 Euclid Ave Ste 201
Berwyn, IL 604023472
Phone: (708) 783-2055
Fax: (708) 783-2181
Type: Location
5710 W ROOSEVELT ST
MONEE, IL 604498014
Phone: (815) 662-7478
Type: Mailing
13011 S 104TH AVE STE 100
PALOS PARK, IL 604641508
Phone: (708) 274-3278
Fax: (708) 274-3299
Type: Location
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: 2025-02-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250214000885 | I | Physician Assistant | IL | TBD |
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.
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 60803)
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