MRS. SUSAN LYNN STEFANSKI (FNP) – Nurse Practitioner, NPI 1720511645

MRS. SUSAN LYNN STEFANSKI (FNP) is a healthcare provider. based in Yorkville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 209015839 (IL). The NPI Number for MRS. SUSAN LYNN STEFANSKI (FNP) is 1720511645

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSAN LYNN STEFANSKI (FNP)
NPI
1720511645
Phone
(630) 327-2884
Address
1322 DEERPATH DR
Enumeration Date
7 April 2017
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6235613000
Graduation Year
2016 (10 years ago)
PAC ID
5698043669
Group Practice PAC ID
4486566726
Professional Enrollment ID
I20230919001840
Address ID
AZ853831558PE26900PKWY504
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:9State licenses:3Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MRS. SUSAN LYNN STEFANSKI (FNP)

  • 1322, Deerpath Drive, Yorkville, Bristol Township, Kendall County, Illinois, 60560, United States

    YORKVILLE, IL 605602379

    Phone: (630) 327-2884

    Type: Mailing

  • 400, North Highland Avenue, Aurora, Kane County, Illinois, 60506, United States

    AURORA, IL 605063814

    Phone: (630) 892-4355

    Type: Location

  • PO BOX 18892

    BELFAST, ME 049154083

    Phone: (469) 803-3000

    Type: Mailing

  • 26900 N LAKE PLEASANT PKWY STE 210

    PEORIA, AZ 853831558

    Phone: (623) 561-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-09-19

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
I20230919001840INurse 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 60560)

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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: 4486566726View full group profile
NameSpecialtyState
-AZ
-AZ
-AZ
Interventional Cardiology, Cardiovascular Disease (Cardiology)AZ
-AZ
-FL
Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseAZ
Cardiovascular Disease (Cardiology), Internal MedicineAZ
Cardiovascular Disease (Cardiology), Interventional CardiologyAZ
Family PracticeAZ

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. SUSAN LYNN STEFANSKI (FNP)?
NPI 1720511645 is assigned to MRS. SUSAN LYNN STEFANSKI (FNP) under the national enumeration system.
Is MRS. SUSAN LYNN STEFANSKI (FNP) active in the national directory?
MRS. SUSAN LYNN STEFANSKI (FNP)'s public NPI profile is in an active state.
What field does MRS. SUSAN LYNN STEFANSKI (FNP) work in?
You can think of MRS. SUSAN LYNN STEFANSKI (FNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. SUSAN LYNN STEFANSKI (FNP)'s primary listing?
We display Yorkville, Illinois because that is what the record indicates for MRS. SUSAN LYNN STEFANSKI (FNP).
Is MRS. SUSAN LYNN STEFANSKI (FNP) a real provider?
This page reflects official NPPES data for NPI 1720511645. Always confirm identity and privileges with the practice and licensing boards.

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