Individual provider Active NPI

Rebecca Sherman Fehling, PA-C

  • Physician Assistant
  • Skokie, IL
National Provider Identifier
1316365042
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005010 Issued in IL
Practice address
9600 Gross Point Rd
Skokie, IL 60076-1214
Phone
(847) 677-9600
NPI assigned
Mar 31, 2014
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085005010 IL Primary

Addresses

Primary practice location

9600 Gross Point Rd
Skokie, IL 60076-1214

Mailing address

4221 Maine TRL
Crystal Lake, IL 60012-3133
Phone (815) 245-5592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140515000790 IL Practitioner - Physician Assistant 5698998896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northshore Dermatology Center SCGroup PAC ID 5092807321, 5 clinicians

Practice addresses (Care Compare)

925 Sherwood Dr
Lake Bluff, IL 60044-2203
Phone (847) 234-1177

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085005010ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince May 1, 2014 Accepting new patients
Northshore Dermatology Center SC CurrentSince Oct 1, 2025 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

925 Sherwood Dr
Lake Bluff, IL 60044
Phone (847) 234-1177

800 N Westmoreland Rd
Ste 100C
Lake Forest, IL 60045
Phone (847) 570-2280

9600 Gross Point Rd
Skokie, IL 60076
Phone (847) 677-9600

3612 Lake Ave
Unit 2B
Wilmette, IL 60091
Phone (847) 256-9400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1316365042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 MAINE TRL",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123133",
            "telephone_number": "815-245-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761214",
            "telephone_number": "847-677-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHLING",
        "first_name": "REBECCA",
        "middle_name": "SHERMAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.