TRICIA MARIE TAACA (PA-C) – Physician Assistant, NPI 1255950242

TRICIA MARIE TAACA (PA-C) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085.007865 (IL). The NPI Number for TRICIA MARIE TAACA (PA-C) is 1255950242

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
TRICIA MARIE TAACA (PA-C)
NPI
1255950242
Phone
(630) 207-7985
Address
415 DEVON LN
Enumeration Date
10 April 2020
Last Update Date
27 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159415160
Graduation Year
2020 (6 years ago)
PAC ID
8224433180
Group Practice PAC ID
9638212079
Professional Enrollment ID
I20210816003782
Address ID
IL604501791MO1499XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for TRICIA MARIE TAACA (PA-C)

  • 415 DEVON LN

    BOLINGBROOK, IL 604401108

    Phone: (630) 207-7985

    Type: Mailing

  • 1499 LAKEWOOD DR STE A

    MORRIS, IL 604501791

    Phone: (815) 941-5160

    Fax: (815) 941-5165

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 115 Open Payments records for all available years, with a total value of $1,942.

Total Amount is formed as General ($1,942) + Research ($0) + Ownership ($0) = $1,942.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Lilly USA, LLC ($235).

Total Amount

$1,942

General + Research + Ownership

Payments

115

Total payment records

General Amount

$1,942

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-08-16

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
I20210816003782IPhysician 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 growths998191$0
99213Established patient office or other outpatient visit, 20-29 minutes482343$0
17000Destruction of precancer skin growth, 1 growth299244$0
11102Biopsy of related skin growth, first growth213194$0
17110Destruction of skin growth, 1-14 growths144118$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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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: 9638212079View full group profile
NameSpecialtyState
Physician AssistantMO
D E R M A T O L O G YIL

Reviews

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Frequently asked questions

What federal number belongs to TRICIA MARIE TAACA (PA-C)?
The federal identifier for TRICIA MARIE TAACA (PA-C) is NPI 1255950242.
Does this profile mean TRICIA MARIE TAACA (PA-C) is currently active?
Yes — TRICIA MARIE TAACA (PA-C) appears active in the national provider directory.
Does TRICIA MARIE TAACA (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for TRICIA MARIE TAACA (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for TRICIA MARIE TAACA (PA-C)?
The page summarizes Bolingbrook, Illinois for TRICIA MARIE TAACA (PA-C); expand the address list for detail.
Is TRICIA MARIE TAACA (PA-C) a real provider?
This page reflects official NPPES data for NPI 1255950242. Always confirm identity and privileges with the practice and licensing boards.

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