Stephanie J Epperson, PA-C
Individual provider Active NPI Physician Assistant · Heyworth, IL
NPI 1396934451 · NPPES record last updated Aug 18, 2026
Key facts
- NPI
- 1396934451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085003079 (IL)
- Practice address
- 801 Fox Run
Heyworth, IL 61745-9345 - Phone
- (309) 473-2795
- Fax
- (309) 473-3216
- NPI assigned
- Oct 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
801 Fox Run
Heyworth, IL 61745-9345
Phone (309) 473-2069
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- St Joseph Medical Center
- Saint James Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071025000628 | IL | Practitioner - Physician Assistant | 8729175542 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-003079 | IL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
801 Fox Run
Heyworth, IL 61745
Phone (309) 473-2069
1765 Bradford Ln
Normal, IL 61761
Phone (309) 661-2400
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085003079 | IL | Yes |
| Medical Physician Assistant | 363AM0700X | 085-003079 | IL |
Addresses
Primary practice location
801 Fox Run
Heyworth, IL 61745-9345
Mailing address
801 Fox Run
Heyworth, IL 61745-9345
Phone (309) 473-2795
Other names
- Stephanie J Raycraft
Other providers in Heyworth, IL
- Athena Home Health, Inc.
- Emily Breitweiser
- Community Unit School Dist 4
- Kayla Fleigle
- Heyworth Ambulance Service
- Laura Michelle Karr
- Maas Chiropractic Center Incorporated
- Russell John Maas
All providers in Heyworth, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.