AMANI BOSLEY PA
NPI 1558136390
Physician Assistant - Medical in Homewood, IL

Q: What is Amani Bosley's NPI number?

The NPI number for Amani Bosley is 1558136390. It was assigned to this individual provider in the NPPES registry on November 21, 2023. The provider is also known as Amani Bosley PA.

Q: What is Amani Bosley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Amani Bosley was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 21, 2023PECOS Enrolled

19150 KEDZIE AVE STE 100, HOMEWOOD, IL 60430(847) 381-8899 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2026, Aug 22, 2024, Aug 15, 2024 and 2 more (5 updates tracked since 2023).

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About Amani Bosley Pa NPPES

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

AMANI BOSLEY PA (NPI 1558136390) is an individual medical provider in Homewood, Illinois, licensed in Illinois (085.010523) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2024).

NPPES Registry Identity

NPI1558136390

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameAMANI BOSLEYCredential: PA

Location Address19150 KEDZIE AVE STE 100Homewood, IL 60430-4540

Mailing Address19150 Kedzie Ave Ste 100Homewood, IL 60430-4540 · (847) 381-8899

Phone(847) 381-8899

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2024

Enumeration DateNovember 21, 2023

Last NPPES UpdateApril 23, 20265 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1558136390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085.010523

19150 KEDZIE AVE STE 100, Homewood, IL 60430

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Other Names 1

Professional Name (2)Amani Bosley Pa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amani Bosley Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527506682

PECOS Enrollment IDI20240820003286

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 2

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.

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

22 services22 patients

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.

17 services15 patients

Other Providers at the Same Location NPPES

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

TAIWO DUROWADE LLC

Clinic/Center

19150 KEDZIE AVE STE 100
HOMEWOOD, IL 60430

Cook County (312) 487-1058

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 Amani Bosley's NPI number?

The NPI number for Amani Bosley is 1558136390. It was assigned to this individual provider in the NPPES registry on November 21, 2023. The provider is also known as Amani Bosley PA.

Where is Amani Bosley located?

Amani Bosley practices at 19150 Kedzie Ave Ste 100, Homewood, IL 60430. The listed phone number is (847) 381-8899.

What is Amani Bosley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amani Bosley enrolled in Medicare?

Yes. Amani Bosley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amani Bosley was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.