Savannah Marie Stucki, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085008118 Issued in IL

Practice address

131 S Dearborn St Ste 1025
Chicago, IL 60603-5517

Phone

(917) 261-4414

NPI assigned

Oct 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Savannah Schoose Former name

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

Specialty

Physician Assistant

Education

University of Kentucky College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• One Medical Group, Inc.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1588382832
  Medicare reassignment Care Compare group NPD
• Eden Health Medical of Il LTD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1083297469
  NPD
• One Medical Group, Inc

  • Family Medicine Physician
  • Tigard, OR
  • NPI 1891521134
  NPD
• Rush Oak Park Physicians Group Lake Street

  • Internal Medicine Physician
  • Oak Park, IL
  • NPI 1841531456
  NPD (past)
• Eden Health Medical PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1811436157
  NPD (past)
• Hunterdon Specialty Care, PC

  • Gastroenterology Physician
  • Flemington, NJ
  • NPI 1790156388
  NPD (past)

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1821563222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606035517",
            "telephone_number": "312-487-2141",
            "fax_number": "312-577-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S DEARBORN ST STE 1025",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606035517",
            "telephone_number": "917-261-4414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Scott St Fl 8",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142042208",
            "country_code": "US",
            "telephone_number": "917-261-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUCKI",
        "first_name": "SAVANNAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17266",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029477",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "SCHOOSE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Stuckey
• Joseph Stuckey, ATC
• Leandra Stuckey, DPT
• Samantha Stuckey, PA-C
• Tomika Stuckey
• Katherine Rose Studer, DMSC, PA-C
• Terrence Michael Studer, APN
• Studio Dental, LLC
• Studio Dental, LLC
• Studio for Change

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.