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EZIAHA R GEORGEWILL APRN-BC, C
NPI 1013521038
Nurse Practitioner - Primary Care in Hazel Crest, IL

Active since September 08, 2020PECOS EnrolledAccepts Medicare Assignment
17800 KEDZIE AVE # A, HAZEL CREST, IL 60429(708) 799-8000 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eziaha R Georgewill Aprn-bc, C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZIAHA R GEORGEWILL APRN-BC, C (NPI 1013521038) is an individual primary care provider in Hazel Crest, Illinois, licensed in Illinois (209.021912) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013521038
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameEZIAHA R GEORGEWILLCredential: APRN-BC, C
Location Address17800 KEDZIE AVE # AHazel Crest, IL 60429-2029
Mailing Address17800 Kedzie AveHazel Crest, IL 60429-2029 · (708) 799-8000
Phone(708) 799-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 8, 2020
NPPES CertifiedSeptember 8, 2020
✔ NPI 1013521038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 209.021912
17800 KEDZIE AVE # A, Hazel Crest, IL 60429
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eziaha R Georgewill Aprn-bc, C is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870956360
PECOS Enrollment IDI20231205001099
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Eziaha Georgewill reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiac Vision LLC
23 mi
Cardiovascular Disease
948 N DAMEN AVE
Chicago, IL 60622
  • Reassigned Medicare billing, Illinois enrollment
  • 29 clinicians in this Medicare group
NPI 1275990707 (904) 836-7565
Signify Health Medical Associates, PLLC
780 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eziaha Georgewill's NPI number?

The NPI number for Eziaha Georgewill is 1013521038. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Eziaha Georgewill located?

Eziaha Georgewill practices at 17800 Kedzie Ave # A, Hazel Crest, IL 60429. The listed phone number is (708) 799-8000.

What is Eziaha Georgewill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Eziaha Georgewill enrolled in Medicare?

Yes. Eziaha Georgewill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Eziaha Georgewill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eziaha Georgewill reassigns Medicare benefits to 2 organizations: Cardiac Vision LLC (Chicago, IL) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eziaha Georgewill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eziaha Georgewill was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.