MISS JESSICA LEE SUTFIN – Athletic Trainer, NPI 1942667498
Athletic Trainer
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MISS JESSICA LEE SUTFIN
8723 School St
Morton Grove, IL 600532924
Phone: (847) 322-0102
Type: Location
100 VILLAGE GRN STE 120
LINCOLNSHIRE, IL 600693095
Phone: (847) 634-1766
Type: Location
8723, School Street, Morton Grove, Niles Township, Cook County, Illinois, 60053, United States
MORTON GROVE, IL 600532924
Phone: (847) 322-0102
Type: Mailing
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Fax: (847) 390-4757
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $80.
Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.
Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Genentech USA, Inc. ($46).
Total Amount
$80
General + Research + Ownership
Payments
2
Total payment records
General Amount
$80
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $46 |
| Bioventus LLC | $34 |
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: 2025-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210121000875 | I | Physician Assistant | IL | TBD |
| I20250414000649 | I | Physician Assistant | CT | TBD |
| I20251028003017 | I | Physician Assistant | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60053)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Emergency Medicine | MA | |
| Emergency Medicine | CA | |
| Nurse Practitioner | MA | |
| Emergency Medicine | IL | |
| Emergency Medicine | MI | |
| Emergency Medicine | NY | |
| Emergency Medicine | MA | |
| Emergency Medicine | PA | |
| Emergency Medicine | CT |
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