Individual provider Active NPI

Aicha Lengane

  • Perinatal Nurse Practitioner
  • Champaign, IL
National Provider Identifier
1942040324
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perinatal Nurse PractitionerTaxonomy code 363LP1700X
License
F122305 Issued in IL
Practice address
926 Waterview Way Apt L
Champaign, IL 61822-1279
Phone
(217) 550-4967
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 F122305 IL
Perinatal Nurse Practitioner 363LP1700X F122305 IL Primary

Addresses

Primary practice location

926 Waterview Way Apt L
Champaign, IL 61822-1279

Mailing address

926 Waterview Way Apt L
Champaign, IL 61822-1279
Phone (217) 550-4967

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
I20241029002090 IL Practitioner - Nurse Practitioner 1456884493 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F122305ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Feb 8, 2025 Accepting new patients
Promise Healthcare NFP Current Accepting new patients
Promise Healthcare NFP CurrentSince Sep 24, 2024 Accepting new patients
Promise Healthcare NFP CurrentSince Sep 24, 2024 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • Direct secure messaging: aicha.lengane.p11@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1942040324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 WATERVIEW WAY APT L",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221279",
            "telephone_number": "217-550-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 WATERVIEW WAY APT L",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221279",
            "telephone_number": "217-550-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENGANE",
        "first_name": "AICHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F122305",
            "primary": false
        },
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "IL",
            "license": "F122305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.