Individual provider Active NPI

Sarah Kehinde Nkwocha, APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1164909412
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209017747 Issued in IL
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

Updated by the provider on Aug 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326002710 IL Practitioner - Nurse Practitioner 0749529329 Reassigns benefits to 4 organizations

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
Visiting Medical Physicians IncGroup PAC ID 0648709022, 3 clinicians
Lifeline Physicians LLCGroup PAC ID 4082083811, 10 clinicians

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 Home health agency, Wheeling, IL, CCN 147786
  • God Gift Health Care LLC Home health agency, Chicago, IL, CCN 148392
  • Reliable Home Care Provider, Inc Home health agency, Lincolnshire, IL, CCN 148194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Medical Group LLC Family CurrentSince Feb 2, 2019 Accepting new patients
Lifeline Physicians LLC CurrentSince Jun 1, 2025 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince May 1, 2024 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.