Individual provider Active NPI

Ernest Ogbeide, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1235763863
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.020904 Issued in IL
Practice address
9119 S Exchange Ave
Chicago, IL 60617-4225
Phone
(773) 768-5000
Fax
(773) 978-8367
NPI assigned
Feb 22, 2020
Reactivated
Mar 27, 2025
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 209.020904 IL Primary

Addresses

Primary practice location

9119 S Exchange Ave
Chicago, IL 60617-4225

Mailing address

9119 S Exchange Ave
Chicago, IL 60617-4225
Phone (773) 768-5000

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
I20200731002148 IL Practitioner - Nurse Practitioner 1456776830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago Family Health Center IncGroup PAC ID 6608765417, 27 clinicians

Practice addresses (Care Compare)

9119 S Exchange Ave
Chicago, IL 60617-4225
Phone (773) 768-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.020904ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Minds Healthcare Services LLC Single Specialty CurrentSince Jan 20, 2025 Accepting new patients
Chicago Family Health Center, Inc. Single Specialty Current Accepting new patients
Chicago Family Health Center Inc CurrentSince May 1, 2020 Accepting new patients
Chicago Family Health Center, Inc. CurrentSince May 1, 2020 Accepting new patients
Great Minds Healthcare Services LLC Single Specialty Current Accepting new patients

Locations

850 Burnham Ave
Calumet City, IL 60409
Phone (708) 360-3535

9119 S Exchange Ave
Chicago, IL 60617

Interoperability endpoints

  • Direct secure messaging: ernest.ogbeide.1@18277.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1235763863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174225",
            "telephone_number": "773-768-5000",
            "fax_number": "773-978-8367"
        },
        {
            "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": "773-768-5000",
            "fax_number": "773-978-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBEIDE",
        "first_name": "ERNEST",
        "name_prefix": "Mr.",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-22",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "deactivation_date": "2025-03-21",
        "reactivation_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.020904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.