Individual provider Active NPI

Anna Marie Phillips, PA-C

  • Physician Assistant
  • Buffalo Grove, IL
National Provider Identifier
1649882192
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.007659 Issued in IL
Practice address
135 N Arlington Heights Rd Ste 105
Buffalo Grove, IL 60089-8215
Phone
(847) 291-8810
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 085.007659 IL Primary

Addresses

Primary practice location

135 N Arlington Heights Rd Ste 105
Buffalo Grove, IL 60089-8215

Mailing address

135 N Arlington Heights Rd Ste 105
Buffalo Grove, IL 60089-8215

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
I20220207001690 IL Practitioner - Physician Assistant 4587057948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

135 N Arlington Heights Rd
Suite 105
Buffalo Grove, IL 60089-8215
Phone (847) 291-8810

1639 N Alpine Rd
Suite 260
Rockford, IL 61107-1481
Phone (815) 395-1500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.007659ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Mental Health Professionals CurrentSince May 25, 2025 Accepting new patients

Locations

135 N Arlington Heights Rd
Ste 105
Buffalo Grove, IL 60089
Phone (847) 291-8810

Interoperability endpoints

  • Direct secure messaging: anna.phillips.1@25899.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1649882192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N ARLINGTON HEIGHTS RD STE 105",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N ARLINGTON HEIGHTS RD STE 105",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898215",
            "telephone_number": "847-291-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.