JOAN AJIDE – Psychiatric/Mental Health Nurse Practitioner, NPI 1013512243

JOAN AJIDE is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 041342473 (IL). The NPI Number for JOAN AJIDE is 1013512243

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JOAN AJIDE
NPI
1013512243
Phone
(773) 627-4247
Address
2151 W GRANVILLE AVE APT 1
Enumeration Date
4 December 2020
Last Update Date
20 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
7113326182
Group Practice PAC ID
9032019757
Professional Enrollment ID
I20210524002054
Address ID
IL600047814Ar3436XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for JOAN AJIDE

  • 2151 W GRANVILLE AVE APT 1

    CHICAGO, IL 606593008

    Phone: (773) 627-4247

    Type: Mailing

  • 977 LAKEVIEW PKWY

    VERNON HILLS, IL 600611400

    Phone: (847) 367-1611

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210524002054INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes9239$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes5219$0
99213Established patient office or other outpatient visit, 20-29 minutes3912$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3523$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2112$0
View full utilization report →

Insurance plans in this area (ZIP 60659)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032019757View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Marriage And Family TherapistIL
Clinical PsychologistIL
P S Y C H I A T R YIL
Psychiatry, Addiction MedicineIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Is there an official ID for JOAN AJIDE in U.S. healthcare records?
The official identifier for JOAN AJIDE is NPI 1013512243.
Would JOAN AJIDE appear as active to a payer?
You can treat JOAN AJIDE as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JOAN AJIDE?
At a glance, JOAN AJIDE is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Illinois is JOAN AJIDE registered?
Use Chicago, Illinois as the headline location for JOAN AJIDE here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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