GRACE NGOZI ENEOGWE (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1467684332
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for GRACE NGOZI ENEOGWE (NURSE PRACTITIONER)
1901 W HARRISON ST
CHICAGO, IL 606123714
Phone: (312) 864-6000
Type: Location
795, Citadel Court, Des Plaines, Cook County, Illinois, 60016, United States
DES PLAINES, IL 600166489
Phone: (847) 635-8142
Type: Mailing
Chase Avenue, Lincolnwood, Niles Township, Cook County, Illinois, 60646, United States
LINCOLNWOOD, IL 607121001
Phone: (847) 983-0228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $521.
Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Cook Medical LLC ($266).
Total Amount
$521
General + Research + Ownership
Payments
6
Total payment records
General Amount
$521
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cook Medical LLC | $266 |
| Phathom Pharmaceuticals, Inc. | $146 |
| Gilead Sciences, Inc. | $109 |
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: 2012-11-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (921 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20121128000538 | I | Nurse Practitioner | IL | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 23 | $0 |
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology) | MA | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| A N E S T H E S I O L O G Y | IL | |
| Physician Assistant | IL |
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