EBONI VAUGHN (FNP) – Family Nurse Practitioner, NPI 1417444969
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for EBONI VAUGHN (FNP)
Imperial Drive, Richton Park, Rich Township, Cook County, Illinois, 60471, United States
RICHTON PARK, IL 604711557
Phone: (708) 297-7325
Type: Mailing
63, 87th Street, Naperville, DuPage County, Illinois, 60565, United States
NAPERVILLE, IL 60565
Phone: (630) 778-7645
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $264.
Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.
Last reported payment date: 2023-11-17 • Largest payer in this snapshot: Amgen Inc. ($143).
Total Amount
$264
General + Research + Ownership
Payments
3
Total payment records
General Amount
$264
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $143 |
| ABBVIE INC. | $97 |
| Myriad Genetic Laboratories, Inc. | $24 |
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: 2018-06-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180609000015 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 207 | 159 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 60471)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IN | |
| - | IN | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | TX | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL |
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