Individual provider Active NPI

Iesha Coleman-Nwagwu, APN

  • Family Nurse Practitioner
  • Alsip, IL
National Provider Identifier
1477094092
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000467 Issued in IL
Practice address
11638 S Pulaski Rd Ste B
Alsip, IL 60803-1622
Phone
(708) 629-6608
Fax
(534) 429-4415
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277000467 IL
Family Nurse Practitioner 363LF0000X 277000467 IL Primary

Addresses

Primary practice location

11638 S Pulaski Rd Ste B
Alsip, IL 60803-1622

Mailing address

11638 S Pulaski Rd Ste B
Alsip, IL 60803-1622
Phone (708) 629-6608

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
I20170605001641 IL Practitioner - Nurse Practitioner 2567739030 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians to You Home Health LimitedGroup PAC ID 5193972164, 10 clinicians

Practice addresses (Care Compare)

6916 Cermak Rd
Berwyn, IL 60402-2244
Phone (708) 933-3840

9915 W 143Rd St
Orland Park, IL 60462-2007
Phone (708) 629-6608

Hospital & facility affiliations

  • Faith Home Healthcare, Inc Home health agency, Chicago, IL, CCN 148023

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians to You Home Health Limited CurrentSince Oct 7, 2024 Accepting new patients
Simply Wounds Advanced Wound Care CurrentSince Dec 26, 2024 Accepting new patients

Locations

6916 Cermak Rd
Berwyn, IL 60402
Phone (708) 933-3840

9915 W 143rd St
Orland Park, IL 60462
Phone (708) 629-6608

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1477094092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11638 S PULASKI RD STE B",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608031622",
            "telephone_number": "708-629-6608",
            "fax_number": "534-429-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11638 S PULASKI RD STE B",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608031622",
            "telephone_number": "708-629-6608",
            "fax_number": "534-429-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN-NWAGWU",
        "first_name": "IESHA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277000467",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alsip, IL

Sources for this page

Verify at the official NPI Registry.