Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy J Stites, PA-C

Individual provider Physician Assistant · NPI 1043676109

Amy J Stites, PA-C is a Physician Assistant in Bloomington, Illinois. Qualified in 2015, 11 years ago. Practices with Illinois Gastroenterology Group LLC, a 116-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1709 Tullamore Ave Ste C
Bloomington, IL 61704-9603
Phone: (309) 454-5900
Fax: (309) 454-2820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085005783 (IL)

Record details

NPI number1043676109
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 5, 2016
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Illinois Gastroenterology Group Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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