ELISHA VICTOR (APRN) – Family Nurse Practitioner, NPI 1790585321

ELISHA VICTOR (APRN) is a healthcare provider. based in Lake barrington, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209030675 (IL). The NPI Number for ELISHA VICTOR (APRN) is 1790585321

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ELISHA VICTOR (APRN)
NPI
1790585321
Phone
(847) 382-5080
Address
22285 N PEPPER RD STE 201
Enumeration Date
13 March 2025
Last Update Date
13 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2242156242
Graduation Year
2023 (3 years ago)
PAC ID
2264951615
Group Practice PAC ID
4688016710
Professional Enrollment ID
I20250528003637
Address ID
IL600469407LA50XXXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ELISHA VICTOR (APRN)

  • 22285 N PEPPER RD STE 201

    LAKE BARRINGTON, IL 600102540

    Phone: (847) 382-5080

    Type: Mailing

  • 1585 N Barrington Rd Ste 206

    Hoffman Estates, IL 601695019

    Phone: (847) 382-5080

    Fax: (847) 382-0923

    Type: Location

  • 1600 N Randall Rd Ste 201

    Elgin, IL 601237805

    Phone: (847) 382-5080

    Fax: (847) 382-0923

    Type: Location

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: 2025-05-28

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
I20250528003637INurse 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 60010)

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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: 4688016710View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the registry number for ELISHA VICTOR (APRN)?
The registry entry for ELISHA VICTOR (APRN) shows NPI 1790585321.
Is ELISHA VICTOR (APRN)'s NPI status active today?
Active status means ELISHA VICTOR (APRN)'s NPI record is not deactivated in the public file.
Which specialty label fits ELISHA VICTOR (APRN)?
NPPES ties ELISHA VICTOR (APRN) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit ELISHA VICTOR (APRN) in Lake Barrington, Illinois?
For routing, start with Lake Barrington, Illinois for ELISHA VICTOR (APRN), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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