STEPHANIE RAE DUFFY (NP) – Adult Health Nurse Practitioner, NPI 1417429796

STEPHANIE RAE DUFFY (NP) is a healthcare provider. based in Bourbonnais, Illinois. specializing in Adult Health Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 209018586 (IL). The NPI Number for STEPHANIE RAE DUFFY (NP) is 1417429796

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE RAE DUFFY (NP)
NPI
1417429796
Phone
(815) 937-4880
Address
20 HERITAGE DR
Enumeration Date
26 December 2018
Last Update Date
28 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159374880
Graduation Year
2018 (8 years ago)
PAC ID
8921375783
Group Practice PAC ID
0143586784
Professional Enrollment ID
I20190222001979
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:7State licenses:2Digital endpointsOther names

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Provider Addresses for STEPHANIE RAE DUFFY (NP)

  • 20, Heritage Drive, Bourbonnais, Kankakee County, Illinois, 60914, United States

    BOURBONNAIS, IL 609142701

    Phone: (815) 937-4880

    Fax: (978) 327-7839

    Type: Mailing

  • 3333 E CAMELBACK RD STE 180

    PHOENIX, AZ 850182396

    Phone: (602) 224-3315

    Fax: (602) 224-3315

    Type: Mailing

  • 6622 N 91ST AVE STE 200

    GLENDALE, AZ 853052569

    Phone: (623) 547-4668

    Fax: (623) 535-7869

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: ABBVIE INC. ($26).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

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: 2021-11-19

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
I20211119000599INurse PractitionerAZTBD

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 60914)

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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: 0143586784View full group profile
NameSpecialtyState
N E P H R O L O G YIL
Nurse PractitionerIL
Nephrology, Internal MedicineIL
Nephrology, Internal MedicineIL

Reviews

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Frequently asked questions

How do payers reference STEPHANIE RAE DUFFY (NP)?
For STEPHANIE RAE DUFFY (NP), use NPI 1417429796 as the unique 10-digit identifier.
Would STEPHANIE RAE DUFFY (NP) appear as active to a payer?
You can treat STEPHANIE RAE DUFFY (NP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for STEPHANIE RAE DUFFY (NP)?
At a glance, STEPHANIE RAE DUFFY (NP) is tied to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with STEPHANIE RAE DUFFY (NP)?
Directory geography for STEPHANIE RAE DUFFY (NP) centers on Bourbonnais, Illinois.
Can I trust this NPI listing for STEPHANIE RAE DUFFY (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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