MS. AMY L DINELLO (PA-C) – Physician Assistant, NPI 1972595296
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. AMY L DINELLO (PA-C)
10001 W INNOVATION DR STE 200
MILWAUKEE, WI 532264851
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Mailing
5804 ELAINE DR STE 202
ROCKFORD, IL 611082432
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Location
OSF Medical Group - Specialty Clinic - Guilford Square, 698, Featherstone Road, Rockford, Winnebago County, Illinois, 61107, United States
ROCKFORD, IL 611076303
Phone: (815) 399-4404
Fax: (815) 484-7091
Type: Mailing
166 SPRING CT N
CARPENTERSVILLE, IL 601102833
Phone: (847) 609-6888
Type: Mailing
2000 LAKE AVE
WOODSTOCK, IL 600987401
Phone: (815) 337-7100
Fax: (815) 338-5936
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: 2013-03-13
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 |
|---|---|---|---|---|
| I20130313000089 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| - | IL |
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