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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GWEN OLIVIA SACCOCIA PA-C
NPI 1154120087
Physician Assistant in Chicago, IL

Active since March 12, 2025PECOS Enrolled
675 N SAINT CLAIR ST STE 18-200, CHICAGO, IL 60611(312) 695-8630(312) 695-2857 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 2, 2026, Mar 12, 2025 (2 updates tracked since 2025).

About Gwen Olivia Saccocia Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWEN OLIVIA SACCOCIA PA-C (NPI 1154120087) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085012321) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154120087
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGWEN OLIVIA SACCOCIACredential: PA-C
Location Address675 N SAINT CLAIR ST STE 18-200Chicago, IL 60611-5929
Mailing Address675 N Saint Clair St Ste 18-200Chicago, IL 60611-5929 · (312) 695-8630 · Fax (312) 695-2857
Phone(312) 695-8630
Fax(312) 695-2857
Sole ProprietorNo
Enumeration DateMarch 12, 2025
Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1154120087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085012321
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
675 N SAINT CLAIR ST STE 18-200, Chicago, IL 60611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwen Olivia Saccocia Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER EISENBERG APRN, CNP
Nurse Practitioner
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Cook County (312) 695-8630
KAMARI OSITELU MD
Internal Medicine (Cardiovascular Disease)
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Cook County (312) 695-8630
JENNY JIA MD
Internal Medicine
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Cook County (312) 695-8630
ANESSA ANAND
Pharmacist
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Cook County (312) 695-8630
DR. CHITHRA PERUMALSWAMI M.D.
Internal Medicine
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Cook County (312) 695-4899
ELIANA GELLER
Internal Medicine (Geriatric Medicine)
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Cook County (312) 695-8630
MADISON JANE KAISER PA-C
Physician Assistant
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Cook County (312) 695-8630
DR. LENORE FITZSIMMONS SOGLIN MD
Internal Medicine
675 N SAINT CLAIR ST STE 18-200
CHICAGO, IL 60611
Cook County (312) 695-8630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwen Saccocia's NPI number?

The NPI number for Gwen Saccocia is 1154120087. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Where is Gwen Saccocia located?

Gwen Saccocia practices at 675 N Saint Clair St Ste 18-200, Chicago, IL 60611. The listed phone number is (312) 695-8630.

What is Gwen Saccocia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gwen Saccocia enrolled in Medicare?

Yes. Gwen Saccocia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gwen Saccocia was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.