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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.

SARA NICOLE EDEN PA
NPI 1649117763
Physician Assistant in Park Ridge, IL

Active since April 29, 2026PECOS Enrolled
1700 LUTHER LN STE 1170, PARK RIDGE, IL 60068(844) 376-3876(847) 723-2041 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 30, 2026, Apr 29, 2026 (2 updates tracked since 2026).

About Sara Nicole Eden Pa NPPES

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

SARA NICOLE EDEN PA (NPI 1649117763) is an individual physician assistant in Park Ridge, Illinois, licensed in Illinois (085-012373) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in North Chicago.

NPPES Registry Identity

NPI1649117763
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSARA NICOLE EDENCredential: PA
Location Address1700 LUTHER LN STE 1170Park Ridge, IL 60068-1270
Mailing Address29373 Network PlChicago, IL 60673-1293
Phone(844) 376-3876
Fax(847) 723-2041
Sole ProprietorNo
Enumeration DateApril 29, 2026
Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1649117763 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 · 085-012373
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.
1700 LUTHER LN STE 1170, Park Ridge, IL 60068
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Secondary Practice Location 1

Location 13333 Green Bay RdNorth Chicago, IL 60064-3037 · Phone (720) 243-6160

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Nicole Eden Pa 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 60068 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.

THOMAS GROBELNY M.D.
Radiology (Diagnostic Radiology)
1700 LUTHER LN STE 1170
PARK RIDGE, IL 60068
Cook County (844) 376-3876
EWELINA WIATRAK DNP, APRN, ACNP-BC
Nurse Practitioner
1700 LUTHER LN STE 1170
PARK RIDGE, IL 60068
Cook County (844) 376-3876
SARAH MOTTA PA-C
Physician Assistant
1700 LUTHER LN STE 1170
PARK RIDGE, IL 60068
Cook County (844) 376-3876
MOLLY BAKER PA-C
Physician Assistant
1700 LUTHER LN STE 1170
PARK RIDGE, IL 60068
Cook County (844) 376-3876
KELLY COUSINS PA-C
Physician Assistant
1700 LUTHER LN STE 1170
PARK RIDGE, IL 60068
Cook County (844) 376-3876
MS. BRIDGET FAITH CANTRELL APN, ACNP
Nurse Practitioner
1700 LUTHER LN STE 1170
PARK RIDGE, IL 60068
Cook County (844) 376-3876
DR. RAHUL RAO MD
Psychiatry & Neurology (Neurology)
1700 LUTHER LN STE 1170
PARK RIDGE, IL 60068
Cook County (844) 376-3876
LEIGH KATHERINE LAROCCO PA-C
Physician Assistant
1700 LUTHER LN STE 1170
PARK RIDGE, IL 60068
Cook County (844) 376-3876

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 Sara Eden's NPI number?

The NPI number for Sara Eden is 1649117763. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Sara Eden located?

Sara Eden practices at 1700 Luther Ln Ste 1170, Park Ridge, IL 60068. The listed phone number is (844) 376-3876.

What is Sara Eden's specialty?

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

Is Sara Eden enrolled in Medicare?

Yes. Sara Eden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sara Eden was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.