Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Emily Wolf , CST

Physician Assistant - Surgical β€’ Normal, IL

Active NPI 1285871764 Individual Practitioner Female Practitioner
Practice location in NPPES

1604 Visa Dr Ste 1
Normal, IL 617612195

Call 3098464716 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1604 Visa Dr Ste 1

Normal, IL 617612195

Telephone 3098464716
Fax 3094541107
Organization at the Same NPPES Address or Phone
Neuromonitoring Service Llc Facility NPI 1467583955

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Normal and Illinois

4 active clinicians are listed under Physician Assistant - Surgical with a practice address in Normal, IL (599 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES IL 170750
Specialist/Technologist, Other - Surgical Technologist

NUCC Taxonomy Code: 246ZS0410X

Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Panna Goswami , MD

Physical Medicine & Rehabilitation

NPI 1871587303

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Business Mailing Address December 07, 2018

Registered at 7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 770742053 (Tel: 7137799800)

βœ…
NPI Profile Active October 25, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 25, 2017

Registered at 1604 VISA DR STE 1, NORMAL, IL 617612195 (Tel: 3098464716)

πŸ“
Updated Business Mailing Address October 25, 2017

Registered at 1604 VISA DR STE 1, NORMAL, IL 617612195 (Tel: 3098464716)

πŸ‘€
Provider Name / Credentials Updated October 25, 2017

Recorded as EMILY WOLF, CST

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2017

Specialist/Technologist, Other

βœ…
NPI Profile Active January 20, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 20, 2009

Registered at 1604 VISA DR STE 1, NORMAL, IL 617612195 (Tel: 3098464716)

πŸ“
Business Mailing Address (Initial Record) January 20, 2009

Registered at 1604 VISA DR STE 1, NORMAL, IL 617612195 (Tel: 3098464716)

πŸ‘€
Provider Name / Credentials (Initial Record) January 20, 2009

Recorded as EMILY SKELTON, CST

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2009

Specialist/Technologist, Other

🟒
Initial NPI Registration & Enumeration January 20, 2009

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1285871764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2009
Last Update: December 07, 2018
Sole Proprietor: No

Mailing Address

7324 Southwest Fwy Ste 1550

Houston, TX 770742053

Phone: 7137799800

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.