AMY E. HEDSTROM PA-C
NPI 1396070801
Physician Assistant - Surgical in Park Ridge, IL

Q: What is Amy Hedstrom's NPI number?

The NPI number for Amy Hedstrom is 1396070801. It was assigned to this individual provider in the NPPES registry on October 16, 2009.

Q: What is Amy Hedstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Amy Hedstrom was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 October 16, 2009PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

350 S NORTHWEST HWY STE 106, PARK RIDGE, IL 60068(847) 470-1500(847) 470-1550 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Dec 9, 2021, Jul 12, 2019 and 1 more (4 updates tracked since 2018).

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About Amy E. Hedstrom Pa-c NPPES

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

AMY E. HEDSTROM PA-C (NPI 1396070801) is an individual surgical provider in Park Ridge, Illinois, licensed in Illinois (085001015) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1396070801

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameAMY E. HEDSTROMCredential: PA-C

Location Address350 S NORTHWEST HWY STE 106Park Ridge, IL 60068-4262

Mailing Address350 S Northwest Hwy Ste 106Park Ridge, IL 60068-4262 · (847) 470-1500 · Fax (847) 470-1550

Phone(847) 470-1500

Fax(847) 470-1550

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateOctober 16, 2009

Last NPPES UpdateMarch 30, 20264 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1396070801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085001015

Also ListedPhysician AssistantTaxonomy 363A00000X · License 085001015 (IL)

350 S NORTHWEST HWY STE 106, Park Ridge, IL 60068

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Secondary Practice Location 1

Location 12650 Ridge AveEvanston, IL 60201-1700 · Phone (847) 663-2652

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy E. Hedstrom Pa-c 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 ID5597803437

PECOS Enrollment IDI20091112000510

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.

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.

Insertion of lower leg neurostimulator electrode 64566

The insertion of a lower leg neurostimulator electrode is a procedure where a small device is placed under your skin. This device sends mild electrical signals to nerves in the lower leg, helping to manage chronic pain. It's a safe, minimally invasive procedure.

246 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

241 services194 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.

121 services111 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

59 services33 patients

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

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 13

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

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