TIA CONSOLINO
NPI 1710719018
Physician Assistant in Bourbonnais, IL

Q: What is Tia Consolino's NPI number?

The NPI number for Tia Consolino is 1710719018. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Q: What is Tia Consolino's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tia Consolino was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 August 15, 2024PECOS EnrolledAccepts Medicare Assignment

6712 N CONVENT ST, BOURBONNAIS, IL 60914(815) 928-8050(815) 928-8932 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2024, Aug 15, 2024 (2 updates tracked since 2024).

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About Tia Consolino NPPES

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

TIA CONSOLINO (NPI 1710719018) is an individual physician assistant in Bourbonnais, Illinois and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Presence St Marys Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1710719018

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTIA CONSOLINO

Location Address6712 N CONVENT STBourbonnais, IL 60914-1528

Mailing Address900 Rand Rd Ste 300Des Plaines, IL 60016-2359 · (847) 324-3976 · Fax (847) 929-1154

Phone(815) 928-8050

Fax(815) 928-8932

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 15, 2024

Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1710719018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

6712 N CONVENT ST, Bourbonnais, IL 60914

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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

Tia Consolino 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 ID941732499

PECOS Enrollment IDI20241022002404

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.

Hospital Affiliations CMS Care Compare 2

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

Presence St Marys Hospital

Acute Care Hospitals · Kankakee, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140155

Location500 W Court StKankakee, IL 60901 · Kankakee County

Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140213

Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60914 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 18

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

WILLIAM MOSENTHAL M.D.

Orthopaedic Surgery