Queen Ajiere
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Frankfort, IL
NPI 1730890898 · NPPES record last updated Dec 9, 2022
Key facts
- NPI
- 1730890898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209026557 (IL)
- Practice address
- 10209 W Lincoln Hwy
Frankfort, IL 60423-1279 - Phone
- (708) 998-2979
- NPI assigned
- Dec 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Zoelife Healthcare Services Inc
Practice addresses (Care Compare)
10209 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone (708) 998-2979
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230203001794 | IL | Practitioner - Nurse Practitioner | 3577935386 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209026557 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zoelife Healthcare Services Inc | Psychiatric/Mental Health | Current |
Accepting new patients |
| Hometown Primary Care of Frankfort PLLC | Psychiatric/Mental Health | Past |
Accepting new patients |
Locations
10209 W Lincoln Hwy
Frankfort, IL 60423
Phone (708) 998-2979
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209026557 | IL | Yes |
Addresses
Primary practice location
10209 W Lincoln Hwy
Frankfort, IL 60423-1279
Mailing address
10209 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone (708) 998-2979
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kareo | Direct |
Other providers in Frankfort, IL
- Advanced Family Dental and Orthodontics, P.C.
- Advocate Hope Children'S Hospital
- Aesthetic Dentistry of Frankfort, P.C.
- Nadeem Ahmad
- Chime Ajiere
- Ayesha Akbar
- Fadi Akhras
- Akinwale Akinwande DDS Ms PLLC
- Zenah Alaiwi
- Bushra A Alam
All providers in Frankfort, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.