Individual provider Active NPI

Ana Diane Deeter, PA

  • Physician Assistant
  • Northbrook, IL
National Provider Identifier
1407539414
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
899 Skokie Blvd Ste 260
Northbrook, IL 60062-4019
Phone
(630) 974-6602
Fax
(630) 487-2411
NPI assigned
Aug 8, 2023
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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 NU Primary

Addresses

Primary practice location

899 Skokie Blvd Ste 260
Northbrook, IL 60062-4019

Mailing address

1100 Jorie Blvd Ste 300
Oak Brook, IL 60523-2219
Phone (630) 974-6602

Other practice location 1

7434 Louis Pasteur Dr Ste 220
San Antonio, TX 78229-4540
Phone (210) 714-0066

Other names 1

  • Ana Cardenas Former name

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
I20250717000800 IL Practitioner - Physician Assistant 7416462445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMS Clinical Services PLLCGroup PAC ID 7517395064, 30 clinicians

Practice addresses (Care Compare)

899 Skokie Blvd
Suite 260
Northbrook, IL 60062-4019
Phone (630) 974-6602

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Relief Mental Health CurrentSince Jun 29, 2025 Accepting new patients
Lighthouse Mental Health Group PLLC PastSince Sep 1, 2023 Accepting new patients
Shawna M. Deeves M.D. P.L.L.C PastSince Sep 1, 2023 Accepting new patients

Locations

899 Skokie Blvd
Ste 260
Northbrook, IL 60062
Phone (630) 970-6602

Organizations & group practices 4

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1407539414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232219",
            "telephone_number": "630-974-6602",
            "fax_number": "630-487-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 SKOKIE BLVD STE 260",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624019",
            "telephone_number": "630-974-6602",
            "fax_number": "630-487-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7434 Louis Pasteur Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294540",
            "country_code": "US",
            "telephone_number": "210-714-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEETER",
        "first_name": "ANA",
        "middle_name": "DIANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "CARDENAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.