AMY MARIE PAULUS FNP-BC
NPI 1174170856
Nurse Practitioner - Family in Barrington, IL

Q: What is Amy Paulus's NPI number?

The NPI number for Amy Paulus is 1174170856. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Q: What is Amy Paulus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Paulus was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since August 19, 2019PECOS EnrolledAccepts Medicare Assignment

450 W HIGHWAY 22, BARRINGTON, IL 60010(847) 842-4849(847) 842-5518 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2023, Feb 17, 2020, Aug 19, 2019 (3 updates tracked since 2019).

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About Amy Marie Paulus Fnp-bc NPPES

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

AMY MARIE PAULUS FNP-BC (NPI 1174170856) is an individual family provider in Barrington, Illinois, licensed in Illinois (209019463) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Advocate Good Shepherd Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174170856

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMY MARIE PAULUSCredential: FNP-BC

Location Address450 W HIGHWAY 22Barrington, IL 60010-1919

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(847) 842-4849

Fax(847) 842-5518

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 19, 2019

Last NPPES UpdateNovember 13, 20233 updates tracked since enumeration

NPPES CertifiedNovember 13, 2023

✔ NPI 1174170856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209019463

450 W HIGHWAY 22, Barrington, IL 60010

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Marie Paulus Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739411349

PECOS Enrollment IDI20191031002548

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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Paulus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran General Hospital

18 mi

Cardiovascular Disease

1775 DEMPSTER ST
Park Ridge, IL 60068

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Advocate Health And Hospitals Corporation
4,870 clinicians in this Medicare group

NPI 1801809306 (847) 723-2210

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

55 services29 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

29 services29 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

25 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services17 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

18 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140291

Location450 West Highway 22Barrington, IL 60010 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60010 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

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.

ROBERT CARRARA

Dietitian, Registered