LEMMY EGHAREVBA – Psychiatric/Mental Health Nurse Practitioner, NPI 1154168391

LEMMY EGHAREVBA is a healthcare provider. based in Carpentersville, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209029810 (IL). The NPI Number for LEMMY EGHAREVBA is 1154168391

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
LEMMY EGHAREVBA
NPI
1154168391
Phone
(708) 785-2461
Address
9 SPARROW RD
Enumeration Date
15 July 2024
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2244893888
Graduation Year
2023 (3 years ago)
PAC ID
0244771830
Group Practice PAC ID
6406957919
Professional Enrollment ID
I20240923003727
Address ID
IL601697234HO2500XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for LEMMY EGHAREVBA

  • 9 SPARROW RD

    CARPENTERSVILLE, IL 601102256

    Phone: (708) 785-2461

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($33).

Total Amount

$94

General + Research + Ownership

Payments

4

Total payment records

General Amount

$94

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

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: 2024-09-23

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
I20240923003727INurse 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 60110)

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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: 6406957919View full group profile
NameSpecialtyState
Nurse PractitionerIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

Does LEMMY EGHAREVBA share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LEMMY EGHAREVBA uses 1154168391.
Can I rely on LEMMY EGHAREVBA being an active provider?
As of the registry snapshot, LEMMY EGHAREVBA is marked active.
What healthcare role does LEMMY EGHAREVBA hold?
Scheduling teams often label LEMMY EGHAREVBA under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for LEMMY EGHAREVBA?
LEMMY EGHAREVBA's geographic hint is Carpentersville, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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