DOLLY OSAS AGBA (NURSE PRACTITIONER) – Adult Health Nurse Practitioner, NPI 1023027869

DOLLY OSAS AGBA (NURSE PRACTITIONER) is a healthcare provider. based in Joliet, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 209-006082 (IL). The NPI Number for DOLLY OSAS AGBA (NURSE PRACTITIONER) is 1023027869

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DOLLY OSAS AGBA (NURSE PRACTITIONER)
NPI
1023027869
Phone
(815) 744-3481
Address
908 SHILOH CT
Enumeration Date
7 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157278670
Graduation Year
2005 (21 years ago)
PAC ID
3274636378
Group Practice PAC ID
5395633317
Professional Enrollment ID
I20070309000449
Address ID
IL604332548JO1106XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for DOLLY OSAS AGBA (NURSE PRACTITIONER)

  • 908, Shiloh Court, Joliet, Troy Township, Will County, Illinois, 60431, United States

    JOLIET, IL 604319307

    Phone: (815) 744-3481

    Fax: (815) 744-3481

    Type: Mailing

  • Will County Health Department and Community Health Center, 1106, Neal Avenue, Joliet, Will County, Illinois, 60433, United States

    JOLIET, IL 604332548

    Phone: (815) 727-8670

    Fax: (815) 740-8149

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $219.

Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.

Last reported payment date: 2024-11-17 • Largest payer in this snapshot: Dexcom, Inc. ($50).

Total Amount

$219

General + Research + Ownership

Payments

11

Total payment records

General Amount

$219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-03-09

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
I20070309000449INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60431)

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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: 5395633317View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Family PracticeIL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
Internal Medicine, Infectious DiseaseIL
-IL
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

What federal number belongs to DOLLY OSAS AGBA (NURSE PRACTITIONER)?
The federal identifier for DOLLY OSAS AGBA (NURSE PRACTITIONER) is NPI 1023027869.
Is DOLLY OSAS AGBA (NURSE PRACTITIONER)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DOLLY OSAS AGBA (NURSE PRACTITIONER)?
The page reflects Adult Health Nurse Practitioner for DOLLY OSAS AGBA (NURSE PRACTITIONER). Clinical services aligned with this taxonomy classification.
Does DOLLY OSAS AGBA (NURSE PRACTITIONER) practice in Illinois?
You will see Joliet, Illinois on file for DOLLY OSAS AGBA (NURSE PRACTITIONER) alongside any extra practice locations.
Is DOLLY OSAS AGBA (NURSE PRACTITIONER) a real provider?
This page reflects official NPPES data for NPI 1023027869. Always confirm identity and privileges with the practice and licensing boards.

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