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MRS. MICHELLE LEE SANFILIPPO PA-C
NPI 1679628374
Physician Assistant in Crystal Lake, IL

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
750 E TERRA COTTA AVE, CENTEGRA NEUROLOGY, CRYSTAL LAKE, IL 60014(815) 338-6600(815) 455-1875 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2018, Aug 2, 2017 (2 updates tracked since 2017).

About Mrs. Michelle Lee Sanfilippo Pa-c NPPES

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

MRS. MICHELLE LEE SANFILIPPO PA-C (NPI 1679628374) is an individual physician assistant in Crystal Lake, Illinois, licensed in Illinois (085-001316) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in Algonquin.

NPPES Registry Identity

NPI1679628374
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MICHELLE LEE SANFILIPPOCredential: PA-C
Location Address750 E TERRA COTTA AVE, CENTEGRA NEUROLOGYCrystal Lake, IL 60014
Mailing Address750 E Terra Cotta Ave Ste ACrystal Lake, IL 60014-3621 · (815) 338-6600 · Fax (815) 455-1875
Phone(815) 338-6600
Fax(815) 455-1875
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMay 18, 20182 updates tracked since enumeration
✔ NPI 1679628374 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 · 085-001316
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.
750 E TERRA COTTA AVE, Crystal Lake, IL 60014
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Secondary Practice Location 1

Location 11122 N Main StAlgonquin, IL 60102-3482 · Phone (815) 338-6600 · Fax (815) 455-1875

Other Identifiers 1

Other085001316IL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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

Mrs. Michelle Lee Sanfilippo 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 ID6305827908
PECOS Enrollment IDI20190408000016
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.

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
140 services138 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
132 services121 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.
49 services49 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.
49 services36 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.
29 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 6

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

MRS. REBECCA E CHESKI ATC
Specialist/Technologist (Athletic Trainer)
750 E TERRA COTTA AVE, SUITE C
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-0800
MR. KEVIN FRANKLIN BARNES A.T.C./L.
Specialist/Technologist (Athletic Trainer)
750 E TERRA COTTA AVE
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-0800
MERCY HEALTH SYSTEM CORPORATION
Durable Medical Equipment & Medical Supplies
750 E TERRA COTTA AVE, STE B
CRYSTAL LAKE, IL 60014
McHenry County (815) 459-1212
VIRGINIA B HEMELT MD
Psychiatry & Neurology (Neurology)
750 E TERRA COTTA AVE
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-1800
MCENEANEY & LESNIAK ASSOCIATES
Clinic/Center (Primary Care)
750 E TERRA COTTA AVE
CRYSTAL LAKE, IL 60014
McHenry County (847) 639-5800
MR. JEREMY A HOUTAKKER P.A.
Physician Assistant (Surgical)
750 E TERRA COTTA AVE, SUITE C
CRYSTAL LAKE, IL 60014
McHenry County (815) 455-0800

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 Michelle Sanfilippo's NPI number?

The NPI number for Michelle Sanfilippo is 1679628374. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Michelle Sanfilippo located?

Michelle Sanfilippo practices at 750 E Terra Cotta Ave Centegra Neurology, Crystal Lake, IL 60014. The listed phone number is (815) 338-6600.

What is Michelle Sanfilippo's specialty?

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

Is Michelle Sanfilippo enrolled in Medicare?

Yes. Michelle Sanfilippo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michelle Sanfilippo accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Michelle Sanfilippo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michelle Sanfilippo affiliated with any hospitals?

According to CMS data, Michelle Sanfilippo is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Sanfilippo was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.