PHYLLIS EGGLESTON – Family Nurse Practitioner, NPI 1043834435

PHYLLIS EGGLESTON is a healthcare provider. based in Oak lawn, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209021337 (IL). The NPI Number for PHYLLIS EGGLESTON is 1043834435

Main info

Female
7 Years Of Experience
Name
PHYLLIS EGGLESTON
NPI
1043834435
Phone
(708) 422-0799
Address
10201 S CICERO AVE STE C
Enumeration Date
2 June 2020
Last Update Date
15 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7737502571
Graduation Year
2019 (7 years ago)
PAC ID
9133530009
Group Practice PAC ID
5092148387
Professional Enrollment ID
I20201125000268
Address ID
IL606294642CH4021XSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for PHYLLIS EGGLESTON

  • 10201 S CICERO AVE STE C

    OAK LAWN, IL 604534672

    Phone: (708) 422-0799

    Type: Location

  • 10159 S VERNON AVE

    CHICAGO, IL 606282235

    Phone: (773) 791-0019

    Type: Mailing

  • 9119 S EXCHANGE AVE

    CHICAGO, IL 606174225

    Phone: (773) 364-2206

    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: 2020-11-25

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
I20201125000268INurse 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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes192106$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes14793$0
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month11264$0
99497Advance care planning, first 30 minutes5858$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes3737$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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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: 5092148387View full group profile

Reviews

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Frequently asked questions

Can I verify PHYLLIS EGGLESTON with an NPI only?
You can start verification with NPI 1043834435 for PHYLLIS EGGLESTON, then check state licensing separately.
Does CMS list PHYLLIS EGGLESTON as active?
Yes — PHYLLIS EGGLESTON is active in the NPI listing used on this page.
What is PHYLLIS EGGLESTON's specialty?
The listing groups PHYLLIS EGGLESTON with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does PHYLLIS EGGLESTON list a practice location?
Patients near Oak Lawn, Illinois may find PHYLLIS EGGLESTON in results; validate coverage separately.
Is the information about PHYLLIS EGGLESTON up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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