Ebony P Belle-Johnson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209015184 Issued in IL

Practice address

6307 Fox Ridge Dr
Plainfield, IL 60586-5565

Phone

(708) 250-8799

NPI assigned

Jan 17, 2017

Last updated

Dec 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Haveric Medical LTDGroup PAC ID 0547214694, 4 clinicians

CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
• Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

Merit-based Incentive Payment System (MIPS)

Final score

20.52 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

68.41

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

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.

• CMC Healthcare LLC

  • Nurse Practitioner
  • Evanston, IL
  • NPI 1295432334
  Medicare reassignment Care Compare group NPD
• Eden Elon Medical PLLC

  • Primary Care Nurse Practitioner
  • Plainfield, IL
  • NPI 1548143191
  Medicare reassignment NPD Authorized official
• Haveric Medical LTD

  • Internal Medicine Physician
  • Joliet, IL
  • NPI 1881624047
  Medicare reassignment Care Compare group NPD
• Gandhi Medical Consultants SC

  • Family Medicine Physician
  • Joliet, IL
  • NPI 1073003844
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Rehabilitation Hospital Unit
  • New Lenox, IL
  • NPI 1003933797
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  dba Silver Cross Hospital

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  Care Compare affiliation

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1841736642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 FOX RIDGE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865565",
            "telephone_number": "708-250-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 FOX RIDGE DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865565",
            "telephone_number": "708-250-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLE-JOHNSON",
        "first_name": "EBONY",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL NURSE",
            "identifier": "041391245",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behavioral Health and Education Specialists Inc
• Shaheen L Behrouz, DPT
• Allison E Bell, SLP-CF
• Sara E. Bell, APN-CNP
• Tracy Bell, L.C.P.C
• D. Jonathan Bender, PT
• Viktorija Bennett
• Courtney Bergman, CCC-SLP/L
• Aabha Beri, MD
• Suzanne Berkley, R.D., L.D.N.

• Family Nurse Practitioner in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.