BRENDA NNABUEZE (APN) – Family Nurse Practitioner, NPI 1275197311

BRENDA NNABUEZE (APN) is a healthcare provider. based in Lynwood, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209018746 (IL). The NPI Number for BRENDA NNABUEZE (APN) is 1275197311

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA NNABUEZE (APN)
NPI
1275197311
Phone
Not provided
Address
20557 TYLER DR
Enumeration Date
24 April 2019
Last Update Date
24 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2198849180
Graduation Year
2018 (8 years ago)
PAC ID
5092058073
Group Practice PAC ID
9638063894
Professional Enrollment ID
I20190703002208
Address ID
IN464102601ME5800XBROA200

Contacts

Main Contact
brenda.n@mpachealthcare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Loading map...

Provider Addresses for BRENDA NNABUEZE (APN)

  • 20557, Tyler Drive, Lynwood, Bloom Township, Cook County, Illinois, 60411, United States

    LYNWOOD, IL 604118572

    Phone:

    Type: Mailing

  • 11401, South Oakley Avenue, Morgan Park, Chicago, Lake Township, Cook County, Illinois, 60643, United States

    CHICAGO, IL 606434196

    Phone: (773) 233-6311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-01-17 • Largest payer in this snapshot: Itamar Medical Inc ($48).

Total Amount

$48

General + Research + Ownership

Payments

1

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Itamar Medical Inc$48
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: 2019-07-03

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
I20190514001949INurse PractitionerILTBD
I20190703002208INurse PractitionerINTBD

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
93288Evaluation of single, dual, multiple lead or leadless pacemaker system1512$0
View full utilization report →

Insurance plans in this area (ZIP 60411)

Loading plans...

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: 9638063894View full group profile
NameSpecialtyState
-IN
General Surgery, Colorectal Surgery (Proctology)NY
Gynecological Oncology, Obstetrics/GynecologyIN
O B S T E T R I C S/ G Y N E C O L O G YIN
Nurse PractitionerIN
Family PracticeIN
P O D I A T R YIN
Nurse PractitionerIN
N E U R O L O G YAR
General SurgeryIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does BRENDA NNABUEZE (APN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRENDA NNABUEZE (APN) uses 1275197311.
Is BRENDA NNABUEZE (APN) listed as active for patients and plans?
The listing shows BRENDA NNABUEZE (APN) as active in the NPI system.
What is BRENDA NNABUEZE (APN)'s primary classification?
Family Nurse Practitioner is the headline specialty for BRENDA NNABUEZE (APN) here. Clinical services aligned with this taxonomy classification.
What address line appears for BRENDA NNABUEZE (APN)?
BRENDA NNABUEZE (APN)'s geographic hint is Lynwood, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

7300 191ST ST
NPI: 1538426127
12251 S 80TH AVE
NPI: 1447647110

MARY ANN JONES (FNP-C)

Family Nurse Practitioner
First Northern Credit Union, 230, West Monroe Street, Loop, Chicago, Cook County, Illinois, 60603, United States
NPI: 1720433048

FELICIA CARTER (FNP)

Family Nurse Practitioner
5818, Columbia Avenue, Pullman-Standard Historic District, Hammond, Lake County, Indiana, 46320, United States
NPI: 1669828398

KRISTEN BROWN

Family Nurse Practitioner
20141, Cypress Avenue, Lynwood, Bloom Township, Cook County, Illinois, 60411, United States
NPI: 1780032334
8556 S ASHLAND AVE
NPI: 1346754835

MISS MAIRA OCHOA (APN)

Family Nurse Practitioner
19767 Torrence Ave
NPI: 1003303769

ABOSEDE WOODY (FNP)

Family Nurse Practitioner
North Wayne Avenue, Lincoln Park, Chicago, Cook County, Illinois, 60614, United States
NPI: 1083265060

Braynt Healthy Living

Family Nurse Practitioner
19404 N. CREEK DRIVE
NPI: 1164044236