EBELE N ILOABACHIE
NPI 1093050841
Nurse Practitioner - Psychiatric/Mental Health in Fairview Heights, IL

Q: What is Ebele Iloabachie's NPI number?

The NPI number for Ebele Iloabachie is 1093050841. It was assigned to this individual provider in the NPPES registry on December 5, 2012.

Q: What is Ebele Iloabachie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ebele Iloabachie was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since December 05, 2012PECOS Enrolled

141 MARKET PL STE 100, FAIRVIEW HEIGHTS, IL 62208(618) 398-4226(618) 398-1759 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 30, 2025, Jul 15, 2022, Nov 11, 2020 and 1 more (4 updates tracked since 2018).

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About Ebele N Iloabachie NPPES

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

EBELE N ILOABACHIE (NPI 1093050841) is an individual psychiatric/mental health provider in Fairview Heights, Illinois, licensed in Illinois (277003973) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093050841

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameEBELE N ILOABACHIE

Location Address141 MARKET PL STE 100Fairview Heights, IL 62208-2089

Mailing Address7006 Stony Ridge RdSaint Louis, MO 63129-6405

Phone(618) 398-4226

Fax(618) 398-1759

Sole ProprietorNo

Enumeration DateDecember 5, 2012

Last NPPES UpdateMay 30, 20254 updates tracked since enumeration

NPPES CertifiedMay 30, 2025

✔ NPI 1093050841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in IL · 277003973✔ Licensed in MO · 2021048982

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209.010250 (IL), 2012036151 (MO)

141 MARKET PL STE 100, Fairview Heights, IL 62208

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Secondary Practice Locations 2

Location 13920 Hampton AveSaint Louis, MO 63109-1401 · Phone (314) 687-2713

Location 212098 Lusher RdSaint Louis, MO 63138-1302 · Phone (866) 825-3227

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebele N Iloabachie is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Ebele Iloabachie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Promed Preferred Il 2 PLLC

Same address

Clinical

141 MARKET PL STE 100
Fairview Heights, IL 62208

Reassigned Medicare billing, Illinois enrollment
16 clinicians in this Medicare group

NPI 1023855566 (615) 499-3165

St. Louis Behavioral Health Services, LLC

26 mi

Psychiatry

12255 DEPAUL DR, SUITE 490
Bridgeton, MO 63044

Reassigned Medicare billing, Missouri enrollment
5 clinicians in this Medicare group

NPI 1487994877 (314) 344-7770

Mental Health Specialty Group PA

636 mi

Mental Health

110 N CORCORAN ST FL 5
Durham, NC 27701

Reassigned Medicare billing, Illinois enrollment
107 clinicians in this Medicare group

NPI 1801472634 (323) 205-7088

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 3

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

153 services32 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

91 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

75 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62208 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Other Providers at the Same Location NPPES 3

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

PROMED PREFERRED IL 2 PLLC

Social Worker (Clinical)

141 MARKET PL STE 100
FAIRVIEW HEIGHTS, IL 62208

St. Clair County (615) 499-3165

GLENN AGAPE EDILLOR MONTERO MSN, ARN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

141 MARKET PL STE 100
FAIRVIEW HEIGHTS, IL 62208

St. Clair County (618) 398-4226

PREFERRED BEHAVIORAL HEALTH MSO, INC.

Social Worker (Clinical)

141 MARKET PL STE 100
FAIRVIEW HEIGHTS, IL 62208

St. Clair County (618) 398-4226

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 Ebele Iloabachie's NPI number?

The NPI number for Ebele Iloabachie is 1093050841. It was assigned to this individual provider in the NPPES registry on December 5, 2012.

Where is Ebele Iloabachie located?

Ebele Iloabachie practices at 141 Market Pl Ste 100, Fairview Heights, IL 62208. The listed phone number is (618) 398-4226.

What is Ebele Iloabachie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ebele Iloabachie enrolled in Medicare?

Yes. Ebele Iloabachie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ebele Iloabachie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebele Iloabachie reassigns Medicare benefits to 3 organizations: Promed Preferred Il 2 PLLC (Fairview Heights, IL), St. Louis Behavioral Health Services, LLC (Bridgeton, MO) and Mental Health Specialty Group PA (Durham, NC). 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 Ebele Iloabachie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebele Iloabachie accept?

Health plans from Medica, Oscar Health and UnitedHealthcare list Ebele Iloabachie 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 Ebele Iloabachie was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.