Individual provider Active NPI

Amani Bosley, PA

  • Medical Physician Assistant
  • Homewood, IL
National Provider Identifier
1558136390
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085.010523 Issued in IL
Practice address
19150 Kedzie Ave Ste 100
Homewood, IL 60430-4540
Phone
(847) 381-8899
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085.010523 IL Primary

Addresses

Primary practice location

19150 Kedzie Ave Ste 100
Homewood, IL 60430-4540

Mailing address

19150 Kedzie Ave Ste 100
Homewood, IL 60430-4540
Phone (847) 381-8899

Other names 1

  • Amani Bosley Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://select.nextech-api.com/api
Direct Messaging Address amuhammadjohnson@directaddress.net

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
I20240820003286 IL Practitioner - Physician Assistant 8527506682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
R Franklin University of Med & Sci/Chicago Medical School, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1600 N Randall Rd
Suite 400
Elgin, IL 60123-7803

1600 N Randall Rd
Suite 400
Elgin, IL 60123-7805

PO Box
Belfast, ME 04915

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: amani.johnson.1@25120.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1558136390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19150 KEDZIE AVE STE 100",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304540",
            "telephone_number": "847-381-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19150 KEDZIE AVE STE 100",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304540",
            "telephone_number": "847-381-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSLEY",
        "first_name": "AMANI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.010523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://select.nextech-api.com/api",
            "affiliation": "N",
            "address_1": "85 W Algonquin Rd Ste 220",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600054423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amuhammadjohnson@directaddress.net",
            "affiliation": "N",
            "address_1": "85 W Algonquin Rd Ste 220",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600054423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANI",
            "last_name": "BOSLEY",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Homewood, IL

Sources for this page

Verify at the official NPI Registry.