MR. ERNEST OGBEIDE (APRN, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1235763863

MR. ERNEST OGBEIDE (APRN, PMHNP) is a healthcare provider. based in Tinley park, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP. They hold a License No. 209.020904 (IL). The NPI Number for MR. ERNEST OGBEIDE (APRN, PMHNP) is 1235763863

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. ERNEST OGBEIDE (APRN, PMHNP)
NPI
1235763863
Phone
(773) 756-7402
Address
8305 LILAC LN
Enumeration Date
22 February 2020
Deactivation Date
21 March 2025
Reactivation Date
27 March 2025
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7737685000
Graduation Year
2019 (7 years ago)
PAC ID
1456776830
Group Practice PAC ID
6608765417
Professional Enrollment ID
I20200731002148
Address ID
IL606174225CH9119XAVEX400
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 MR. ERNEST OGBEIDE (APRN, PMHNP)

  • 8305 LILAC LN

    TINLEY PARK, IL 604776575

    Phone: (773) 756-7402

    Type: Mailing

  • 9119 S EXCHANGE AVE

    CHICAGO, IL 606174225

    Phone: (773) 768-5000

    Fax: (773) 978-8367

    Type: Mailing

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: 2020-07-31

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
I20200731002148INurse 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 60477)

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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: 6608765417View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIN
Family PracticeTX
Internal Medicine, Geriatric MedicineIL
-IL
Clinical PsychologistIL

Reviews

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Frequently asked questions

Can I verify MR. ERNEST OGBEIDE (APRN, PMHNP) with an NPI only?
You can start verification with NPI 1235763863 for MR. ERNEST OGBEIDE (APRN, PMHNP), then check state licensing separately.
Does the file indicate MR. ERNEST OGBEIDE (APRN, PMHNP) is practicing under active NPI?
Directory data currently reports MR. ERNEST OGBEIDE (APRN, PMHNP) as active.
What is MR. ERNEST OGBEIDE (APRN, PMHNP) best known for clinically?
Directory data describes MR. ERNEST OGBEIDE (APRN, PMHNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MR. ERNEST OGBEIDE (APRN, PMHNP)?
MR. ERNEST OGBEIDE (APRN, PMHNP)'s geographic hint is Tinley Park, Illinois in our summary view.
Is the information about MR. ERNEST OGBEIDE (APRN, PMHNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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