MISS SARAH LUPA (MS, PA-C) – Medical Physician Assistant, NPI 1144659392

MISS SARAH LUPA (MS, PA-C) is a healthcare provider. based in Lake bluff, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MS, PA-C. They hold a License No. 85004722 (IL). The NPI Number for MISS SARAH LUPA (MS, PA-C) is 1144659392

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MISS SARAH LUPA (MS, PA-C)
NPI
1144659392
Phone
(847) 234-1177
Address
925 SHERWOOD DR
Enumeration Date
8 November 2013
Last Update Date
23 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6304438855
Graduation Year
2013 (13 years ago)
PAC ID
1951668359
Group Practice PAC ID
6204890460
Professional Enrollment ID
I20171120000937
Address ID
IL601741478SA2560XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for MISS SARAH LUPA (MS, PA-C)

  • 925 SHERWOOD DR

    LAKE BLUFF, IL 600442203

    Phone: (847) 234-1177

    Fax: (847) 234-1875

    Type: Mailing

  • 1050 CHICAGO AVE

    OAK PARK, IL 603021835

    Phone: (708) 383-6366

    Fax: (708) 383-6449

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 94 Open Payments records for all available years, with a total value of $2,376.

Total Amount is formed as General ($2,376) + Research ($0) + Ownership ($0) = $2,376.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($323).

Total Amount

$2,376

General + Research + Ownership

Payments

94

Total payment records

General Amount

$2,376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2017-11-20

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
I20171120000937IPhysician 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
17003Destruction of precancer skin growth, 2-14 growths39768$0
99213Established patient office or other outpatient visit, 20-29 minutes341210$0
17000Destruction of precancer skin growth, 1 growth141102$0
17110Destruction of skin growth, 1-14 growths7747$0
99203New patient office or other outpatient visit, 30-44 minutes6666$0
View full utilization report →

Insurance plans in this area (ZIP 60044)

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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: 6204890460View full group profile
NameSpecialtyState
Physician AssistantIL
D E R M A T O L O G YIL
Dermatology, Pathology, Pathology, DermatologyIL
D E R M A T O L O G YIL

Reviews

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Frequently asked questions

Is MISS SARAH LUPA (MS, PA-C) listed with a National Provider Identifier?
Yes — MISS SARAH LUPA (MS, PA-C) has NPI 1144659392 on file in the registry.
Is MISS SARAH LUPA (MS, PA-C) shown as active in public data?
Registry records indicate MISS SARAH LUPA (MS, PA-C) maintains an active NPI.
How would a patient describe MISS SARAH LUPA (MS, PA-C)'s focus?
For MISS SARAH LUPA (MS, PA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Illinois is MISS SARAH LUPA (MS, PA-C) registered?
Use Lake Bluff, Illinois as the headline location for MISS SARAH LUPA (MS, PA-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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