NGOZI SHEILA EBORU – Psychiatric/Mental Health Nurse Practitioner, NPI 1033861067

NGOZI SHEILA EBORU is a healthcare provider. based in Plainfield, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209024482 (IL). The NPI Number for NGOZI SHEILA EBORU is 1033861067

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
NGOZI SHEILA EBORU
NPI
1033861067
Phone
(773) 403-2153
Address
14855 S Van Dyke Rd Unit 695
Enumeration Date
20 January 2022
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157278670
Graduation Year
2021 (5 years ago)
PAC ID
0648655118
Group Practice PAC ID
5395633317
Professional Enrollment ID
I20251112004312
Address ID
IL604332548JO1106XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for NGOZI SHEILA EBORU

  • 14855 S Van Dyke Rd Unit 695

    Plainfield, IL 605444328

    Phone: (773) 403-2153

    Fax: (630) 331-2843

    Type: Location

  • 21222 DUNCAN CT

    PLAINFIELD, IL 605447326

    Phone: (773) 403-2153

    Type: Mailing

  • 1106 NEAL AVE

    JOLIET, IL 604332548

    Phone: (773) 403-2153

    Fax: (815) 740-7621

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 76 Open Payments records for all available years, with a total value of $3,029.

Total Amount is formed as General ($3,029) + Research ($0) + Ownership ($0) = $3,029.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($1,019).

Total Amount

$3,029

General + Research + Ownership

Payments

76

Total payment records

General Amount

$3,029

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2025-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220920000609INurse PractitionerILTBD
I20251112004312INurse PractitionerAZTBD

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 60544)

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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
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Family PracticeIL
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 number should I use to identify NGOZI SHEILA EBORU for billing?
Administrative and clinical systems typically use NPI 1033861067 for NGOZI SHEILA EBORU.
Quick check: is NGOZI SHEILA EBORU active?
Public NPPES data shows NGOZI SHEILA EBORU with an active NPI status right now.
What does the directory say NGOZI SHEILA EBORU does?
Insurance directories may phrase it differently, but here NGOZI SHEILA EBORU maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is NGOZI SHEILA EBORU tied to Plainfield, Illinois?
If you are local to Plainfield, Illinois, NGOZI SHEILA EBORU may be relevant to your search.
Why is information missing for NGOZI SHEILA EBORU?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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