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PHYLLIS EGGLESTON
NPI 1043834435
Nurse Practitioner - Family in Chicago, IL

Active since June 02, 2020PECOS Enrolled
72.99/100
CMS Quality Rating
9119 S EXCHANGE AVE, CHICAGO, IL 60617(773) 364-2206 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 15, 2020, Jun 2, 2020 (2 updates tracked since 2020).

About Phyllis Eggleston NPPES

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

PHYLLIS EGGLESTON (NPI 1043834435) is an individual family provider in Chicago, Illinois, licensed in Illinois (209021337) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043834435
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePHYLLIS EGGLESTON
Location Address9119 S EXCHANGE AVEChicago, IL 60617-4225
Mailing Address10159 S Vernon AveChicago, IL 60628-2235 · (773) 791-0019
Phone(773) 364-2206
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 2, 2020
Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
✔ NPI 1043834435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209021337
9119 S EXCHANGE AVE, Chicago, IL 60617
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phyllis Eggleston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133530009
PECOS Enrollment IDI20201125000268
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

4

Medicare enrollment records show Phyllis Eggleston reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sacred Space In Home Health Care LLC
3.4 mi
Adult Health
10159 S VERNON AVE
Chicago, IL 60628
  • Reassigned Medicare billing, Illinois enrollment
NPI 1356203368 (773) 791-0019
Housecalls Done Wright Ltd
9.5 mi
Internal Medicine
4021 W 63RD ST
Chicago, IL 60629
  • Reassigned Medicare billing, Illinois enrollment
  • 18 clinicians in this Medicare group
NPI 1699317693 (773) 750-2571
MD @ Home Illinois, Sc
13 mi
Internal Medicine
2003 W FULTON ST STE 303
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 127 clinicians in this Medicare group
NPI 1568758415 (312) 243-2223
Signify Health Medical Associates, PLLC
793 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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
702 services153 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
170 services88 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
148 services77 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
136 services128 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
98 services98 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60617 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.36
Promoting Interoperability82
Improvement Activities40
Cost22.28

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARL B TOREN MD
Non-Pharmacy Dispensing Site
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
JUANATA MUA
Nurse Practitioner (Family)
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
SAMIRA RAMIREZ LSW
Social Worker
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
KIYANA M. HURT FNP
Nurse Practitioner
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
MS. KARLA MUNGUIA LCPC
Counselor (Professional)
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
MICHELLE KAMIN-LINDSAY LCSW
Social Worker (Clinical)
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
DR. CHRISTINA JAIME D.D.S.
Dentist
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000
ERICA HIRSH
Pediatrics
9119 S EXCHANGE AVE
CHICAGO, IL 60617
Cook County (773) 768-5000

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 Phyllis Eggleston's NPI number?

The NPI number for Phyllis Eggleston is 1043834435. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Phyllis Eggleston located?

Phyllis Eggleston practices at 9119 S Exchange Ave, Chicago, IL 60617. The listed phone number is (773) 364-2206.

What is Phyllis Eggleston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Phyllis Eggleston enrolled in Medicare?

Yes. Phyllis Eggleston is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Phyllis Eggleston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Eggleston reassigns Medicare benefits to 4 organizations: Sacred Space In Home Health Care LLC (Chicago, IL), Housecalls Done Wright Ltd (Chicago, IL), MD @ Home Illinois, Sc (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 Phyllis Eggleston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phyllis Eggleston accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Phyllis Eggleston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phyllis Eggleston was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.