Active NPI
Phyllis Eggleston
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1043834435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209021337
- Practice address
- 9119 S Exchange Ave
Chicago, IL 60617-4225 - Phone
- (773) 364-2206
- NPI assigned
- Jun 2, 2020
- Last updated
- Dec 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209021337 | IL | Primary |
Addresses
Primary practice location
9119 S Exchange Ave
Chicago, IL 60617-4225
Mailing address
10159 S Vernon Ave
Chicago, IL 60628-2235
Phone (773) 791-0019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4021 W 63Rd St
Unit C
Chicago, IL 60629-4642
Phone (773) 750-2571
Hospital & facility affiliations
- Acacia Home Health Agency
- Caring Touch, Inc.
- P W Home Health, Inc
- Metropolitan Home Health Care, Inc
- Dependable Nursing Home Health Services, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.69 of 100
- Quality
- 87.19
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 40.12
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.62 of 100
- Quality
- 64.25
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 41.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209021337 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Space in Home Health Care LLC | Current | Accepting new patients | |
| MD @ Home Illinois, SC | Current | Accepting new patients | |
| Housecalls Done Wright LTD | Current | Accepting new patients | |
| Ehs Home Health Care Service Inc | Past | Accepting new patients |
Locations
2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223
4021 W 63rd St
Ste C
Chicago, IL 60629
Phone (312) 504-3277
Interoperability endpoints
- https://api.platform.athenahealth.com/4021/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1699317693
-
- Adult Health Nurse Practitioner
- Chicago, IL
- NPI 1356203368
-
dba Housecall Physicians of Illinois, SC
- Internal Medicine Physician
- Chicago, IL
- NPI 1568758415
-
dba Advocate Home Health Services
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lombard, IL
- NPI 1841357126
-
- Home Health Agency
- Downers Grove, IL
- NPI 1164530424
-
- Home Health Agency
- Glenview, IL
- NPI 1790778348
-
- Home Health Agency
- Oakbrook Terrace, IL
- NPI 1417962812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1043834435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10159 S VERNON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606282235",
"telephone_number": "773-791-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9119 S EXCHANGE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606174225",
"telephone_number": "773-364-2206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGLESTON",
"first_name": "PHYLLIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-02",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209021337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.