Active NPI
Sarah Kehinde Nkwocha, APN
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209017747
- Practice address
- 1276 N Clybourn Ave
Chicago, IL 60610 - Phone
- (312) 337-1073
- NPI assigned
- Jul 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209017747 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209017747 | IL | Primary |
Addresses
Primary practice location
1276 N Clybourn Ave
Chicago, IL 60610
Mailing address
2434 W Division
Chicago, IL 60622
Phone (773) 486-8820
Other practice location 1
2434 W Division
Chicago, IL 60622
Phone (773) 486-8820
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1340 Remington Rd
Suite M
Schaumburg, IL 60173-4821
Phone (847) 252-1858
611 Hunter LN
Lake Forest, IL 60045-4905
Phone (847) 615-2273
Hospital & facility affiliations
- Metropolitan Home Health Care, Inc
- God Gift Health Care LLC
- Reliable Home Care Provider, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Home Medical Group LLC | Family | Current | Accepting new patients |
| Lifeline Physicians LLC | Current | Accepting new patients | |
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients | |
| Lifeline Physicians LLC | Past | Accepting new patients |
Locations
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
10602 Southwest Hwy
Chicago Ridge, IL 60415
Phone (708) 448-1540
4215 Newburg Rd
Rockford, IL 61108
Phone (815) 988-8500
2222 E State St
Ste 209
Rockford, IL 61104
Phone (815) 988-8500
3450 Oakton St
Ste 300
Skokie, IL 60076
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Lake Forest, IL
- NPI 1841907839
-
- Multi-Specialty Clinic/Center
- Schaumburg, IL
- NPI 1699586909
-
- Family Nurse Practitioner
- Rockford, IL
- NPI 1497087175
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
-
- Internal Medicine Physician
- Lake Forest, IL
- NPI 1316892151
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chicago, IL
- NPI 1821551219
-
- Home Health Agency
- Glenview, IL
- NPI 1790778348
-
- Home Health Agency
- Lincolnshire, IL
- NPI 1811129893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1164909412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2434 W DIVISION",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60622",
"telephone_number": "773-486-8820",
"fax_number": "773-486-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 N CLYBOURN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60610",
"telephone_number": "312-337-1073"
}
],
"practiceLocations": [
{
"address_1": "2434 W Division",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60622",
"country_code": "US",
"telephone_number": "773-486-8820",
"fax_number": "773-486-8823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NKWOCHA",
"first_name": "SARAH",
"middle_name": "KEHINDE",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209017747",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209017747",
"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 Aug 10, 2018; 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.