STEPHANIE WOESTE KELLY (PA-C) – Physician Assistant, NPI 1568912509
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for STEPHANIE WOESTE KELLY (PA-C)
3900 W 95th St Ste 12
Evergreen Park, IL 608051901
Phone: (708) 636-3767
Fax: (708) 636-4361
Type: Location
6825 Kingery Hwy
Willowbrook, IL 605275154
Phone: (708) 636-3767
Fax: (708) 636-4361
Type: Location
4711 Golf Rd Ste 807
Skokie, IL 600761246
Phone: (708) 636-3767
Fax: (708) 636-4361
Type: Location
7805 CREEKBOTTOM RD
LOUISVILLE, KY 402415508
Phone:
Type: Mailing
114 MANOR DR
BARDSTOWN, KY 400043230
Phone: (502) 349-9999
Type: Location
16105 S LA GRANGE RD
ORLAND PARK, IL 604675503
Phone: (708) 636-3767
Fax: (708) 636-4361
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,060.
Total Amount is formed as General ($1,060) + Research ($0) + Ownership ($0) = $1,060.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($318).
Total Amount
$1,060
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,060
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $318 |
| Regeneron Healthcare Solutions, Inc. | $141 |
| GENZYME CORPORATION | $102 |
| Lilly USA, LLC | $100 |
| E.R. Squibb & Sons, L.L.C. | $91 |
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: 2021-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170124002290 | I | Physician Assistant | KY | TBD |
| I20211217001708 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 296 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 161 | 124 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 102 | 75 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 47 | 46 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 40 | 34 | $0 |
Insurance plans in this area (ZIP 60805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | KY | |
| Nurse Practitioner | KY | |
| D E R M A T O L O G Y | KY | |
| D E R M A T O L O G Y | KY | |
| Nurse Practitioner | IN | |
| D E R M A T O L O G Y | KY | |
| Physician Assistant | KY | |
| D E R M A T O L O G Y | KY | |
| P A T H O L O G Y | KY | |
| D E R M A T O L O G Y | KY |
Reviews
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