STEPHANIE PAINTER (PA) – Medical Physician Assistant, NPI 1760611149

STEPHANIE PAINTER (PA) is a healthcare provider. based in Urbana, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085.003473 (IL). The NPI Number for STEPHANIE PAINTER (PA) is 1760611149

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE PAINTER (PA)
NPI
1760611149
Phone
(217) 383-6792
Address
611 W PARK ST
Enumeration Date
7 July 2009
Last Update Date
8 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096630222
Graduation Year
2009 (17 years ago)
PAC ID
7911052303
Group Practice PAC ID
8921420308
Professional Enrollment ID
I20090909000210
Address ID
IL617043567BL2204XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for STEPHANIE PAINTER (PA)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 618012529

    Phone: (217) 383-6792

    Fax: (217) 383-4752

    Type: Mailing

  • Curtis Road, Ogden, Champaign County, Illinois, 61859, United States

    CHAMPAIGN, IL 618229678

    Phone: (217) 365-6203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Organon LLC ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$14
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: 2009-09-09

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
I20090909000210IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61801)

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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: 8921420308View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
Hospitalist, Family PracticeTX
Clinical PsychologistIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)IL
-IL
Diagnostic RadiologyIL
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

How do payers reference STEPHANIE PAINTER (PA)?
For STEPHANIE PAINTER (PA), use NPI 1760611149 as the unique 10-digit identifier.
Would STEPHANIE PAINTER (PA) appear as active to a payer?
You can treat STEPHANIE PAINTER (PA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is STEPHANIE PAINTER (PA)?
STEPHANIE PAINTER (PA) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEPHANIE PAINTER (PA)?
Travel planning: use Urbana, Illinois as the reference point for STEPHANIE PAINTER (PA), then confirm.
When was this NPI issued?
Enumeration for STEPHANIE PAINTER (PA) is noted as July 7, 2009 where the registry provides it.

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