Individual provider Active NPI

Caroline Ebot Enoh, NP

  • Nurse Practitioner
  • North Aurora, IL
National Provider Identifier
1982177473
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209017332 Issued in IL
Practice address
2616 MC Duffee Cir
North Aurora, IL 60542-2027
Phone
(630) 906-1874
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209017332 IL Primary
Family Nurse Practitioner 363LF0000X 209017332 IL

Addresses

Primary practice location

2616 MC Duffee Cir
North Aurora, IL 60542-2027

Mailing address

12040 Raymond CT
Huntley, IL 60142-8069
Phone (847) 515-1505

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
I20190222000522 IL Practitioner - Nurse Practitioner 4385983121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians to You Home Health LimitedGroup PAC ID 5193972164, 10 clinicians

Practice addresses (Care Compare)

6916 Cermak Rd
Berwyn, IL 60402-2244
Phone (708) 933-3840

Hospital & facility affiliations

  • Ace Health Care Services, LLC Home health agency, Lemont, IL, CCN 148274
  • New Haven Home Health Care, Inc Home health agency, Rosemont, IL, CCN 148060
  • Advance Home Health Care, LTD Home health agency, Chicago, IL, CCN 147769
  • Resilience Home Health, LLC Home health agency, Aurora, IL, CCN 147998
  • Holy Mary Homehealth Care, Inc Home health agency, Palatine, IL, CCN 148290
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209017332ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians to You Home Health Limited CurrentSince Feb 25, 2019 Accepting new patients

Locations

6916 Cermak Rd
Berwyn, IL 60402
Phone (708) 933-3840

3201 S Austin Blvd
Cicero, IL 60804
Phone (708) 933-3840

Interoperability endpoints

  • Direct secure messaging: cenoh@phytou.curemd.direct-ci.com

Organizations & group practices 1

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 7

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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1982177473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 RAYMOND CT",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601428069",
            "telephone_number": "847-515-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 MC DUFFEE CIR",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605422027",
            "telephone_number": "630-906-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOH",
        "first_name": "CAROLINE",
        "middle_name": "EBOT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209017332",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Aurora, IL

Sources for this page

Verify at the official NPI Registry.