PAULINA JOANNA HENRY – Physician Assistant, NPI 1639649494
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for PAULINA JOANNA HENRY
20 W LOGAN ST
LEMONT, IL 604393863
Phone:
Type: Mailing
Aspen Drive, Palos Hills, Palos Township, Cook County, Illinois, 60465, United States
PALOS HILLS, IL 604651710
Phone:
Type: Mailing
101, Essington Road, Joliet, Will County, Illinois, 60435, United States
JOLIET, IL 604351604
Phone: (815) 676-5310
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $218.
Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($100).
Total Amount
$218
General + Research + Ownership
Payments
4
Total payment records
General Amount
$218
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sun Pharmaceutical Industries Inc. | $100 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $80 |
| ABBVIE INC. | $25 |
| Amgen Inc. | $13 |
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: 2019-04-26
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 |
|---|---|---|---|---|
| I20190426000229 | 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 | 192 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 85 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 69 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 83 | 59 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 81 | 28 | $0 |
Insurance plans in this area (ZIP 60439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Pathology | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| D E R M A T O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| Physician Assistant | IL |
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