Individual provider Active NPI

Wuraola Ojelabi, FNP

  • Nurse Practitioner
  • Lansing, IL
National Provider Identifier
1376179614
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209021055 Issued in IL
Practice address
18038 Ridgewood Ave
Lansing, IL 60438-2254
Phone
(708) 663-1074
NPI assigned
Mar 18, 2020
Last updated
Mar 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209021055 IL Primary

Addresses

Primary practice location

18038 Ridgewood Ave
Lansing, IL 60438-2254

Mailing address

18038 Ridgewood Ave
Lansing, IL 60438-2254
Phone (708) 663-1074

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
I20210122000558 IL Practitioner - Nurse Practitioner 7911311543 Reassigns benefits to 3 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
Cardiac Vision LLCGroup PAC ID 6800192519, 12 clinicians

Practice addresses (Care Compare)

18 W 140 Butterfield Rd
15TH Floor
Oakbrook Terrace, IL 60181-4810
Phone (773) 276-2655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Cardiac Vision LLC CurrentSince Oct 12, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 27, 2023 Accepting new patients

Locations

14500 S Manistee Ave
Chicago, IL 60633
Phone (708) 862-1260

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

3450 Oakton St
Ste 300
Skokie, IL 60076

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 3

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": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1376179614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18038 RIDGEWOOD AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382254",
            "telephone_number": "708-663-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18038 RIDGEWOOD AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382254",
            "telephone_number": "708-663-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJELABI",
        "first_name": "WURAOLA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209021055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.