Evelyn Ukpolo, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

277003205 Issued in IL

Practice address

148 S Bolingbrook Dr
Bolingbrook, IL 60440-2852

Phone

(630) 914-5373

NPI assigned

Oct 7, 2014

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

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ignite Hospitalists, LLCGroup PAC ID 7719460328, 11 clinicians

Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presence Mercy Medical Center Hospital, Aurora, IL, CCN 140174

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Ay Behavioral Health and Holistic Care Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolingbrook, IL
  • NPI 1881414746
  Medicare reassignment NPD Authorized official
• Vitae Health Medical Illinois, PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1174013452
  Medicare reassignment Care Compare group NPD
• Ignite Hospitalists, LLC

  • Hospitalist Physician
  • Aurora, IL
  • NPI 1548130883
  Medicare reassignment Care Compare group
• Cimpar Consulting, LLC

  • Specialist
  • Oak Park, IL
  • NPI 1861713216
  Medicare reassignment NPD
• CMC Healthcare LLC

  • Nurse Practitioner
  • Evanston, IL
  • NPI 1295432334
  Medicare reassignment NPD
• Mava Healthcare Systems PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Ellyn, IL
  • NPI 1538931902
  Medicare reassignment NPD
• Mental Health Group Inc

  • Psychiatry Physician
  • Franklin Park, IL
  • NPI 1245013903
  Medicare reassignment NPD
• Paragon Clinical LLC

  • Nurse Practitioner
  • Burr Ridge, IL
  • NPI 1114139946
  Medicare reassignment
• Beth Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frankfort, IL
  • NPI 1063193829
  NPD (past)
• Bolingbrook Home Health LLC

  • Home Health Agency
  • Bolingbrook, IL
  • NPI 1851698203
  NPD (past)
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  NPD (past)
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700
  NPD (past)

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

• Mercy Medical Center - Aurora LLC

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1598503922
  Care Compare affiliation

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1891198628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CHRISTINE WAY",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604406138",
            "telephone_number": "773-540-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S BOLINGBROOK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402852",
            "telephone_number": "630-914-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKPOLO",
        "first_name": "EVELYN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277003205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Marie Tumang, MS, CCC-SLP
• Katrina Turman, RN
• Two Rivers Dental
• Uccares Home Health Services
• Kelvin V Udogu, PHARM D
• Ulezi LLC
• Catherine A Unger, PHARMD
• Fernando Rey Urzua, DDS
• Ferdinand Uson, P.T
• Usrc Bolingbrook LLC

• Psychiatric/Mental Health Nurse Practitioner in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.