Individual provider Active NPI

Ngozi V Ubaghara, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Kankakee, IL
National Provider Identifier
1821583899
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277002068 Issued in IL
Practice address
960 N Washington Ave
Kankakee, IL 60901-2006
Phone
(708) 262-2484
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277002068 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277002068 IL Primary

Addresses

Primary practice location

960 N Washington Ave
Kankakee, IL 60901-2006

Mailing address

960 N Washington Ave
Kankakee, IL 60901-2006
Phone (708) 262-2484

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
I20181115001497 IL Practitioner - Nurse Practitioner 1557592748 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HDC Care Solutions LLC 190 clinicians
Value Based Long Term Care H PC 145 clinicians

Practice addresses (Care Compare)

332 S Michigan Ave
FL 4
Chicago, IL 60604-4434
Phone (888) 964-6681

332 S Michigan Ave
Suite 900
Chicago, IL 60604-4393
Phone (888) 964-6681

Hospital & facility affiliations

  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277002068ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Medical Services Southeast LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Value Based Long Term Care H PC CurrentSince Oct 14, 2025 Accepting new patients
HDC Care Solutions, LLC Family CurrentSince May 5, 2025 Accepting new patients
J C Medical Group LTD CurrentSince Oct 1, 2018 Accepting new patients
Gifted Hands Home Healthcare Inc. Past Accepting new patients

Locations

6033 N Sheridan Rd
Ste N6
Chicago, IL 60660
Phone (773) 275-4800

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

1725 S Wabash Ave
Chicago, IL 60616
Phone (312) 842-4400

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

332 S Michigan Ave
Fl 4
Chicago, IL 60604

1635 E 154th St
Dolton, IL 60419
Phone (708) 841-9550

Organizations & group practices 6

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1821583899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 N WASHINGTON AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012006",
            "telephone_number": "708-262-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 N WASHINGTON AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012006",
            "telephone_number": "708-262-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBAGHARA",
        "first_name": "NGOZI",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277002068",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.