JOSEPH WABOMNOR PA-C
NPI 1114782976
Physician Assistant - Medical in Chicago, IL

Active since February 20, 2024PECOS EnrolledAccepts Medicare Assignment
654 E 47TH ST, CHICAGO, IL 60653(224) 209-0192 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2025, Dec 3, 2024, Apr 8, 2024 (3 updates tracked since 2024).

About Joseph Wabomnor Pa-c NPPES

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

JOSEPH WABOMNOR PA-C (NPI 1114782976) is an individual medical provider in Chicago, Illinois and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114782976
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOSEPH WABOMNORCredential: PA-C
Location Address654 E 47TH STChicago, IL 60653-4224
Mailing Address654 E 47th StChicago, IL 60653-4224 · (773) 624-4800
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 20, 2024
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1114782976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
654 E 47TH ST, Chicago, IL 60653

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joseph Wabomnor Pa-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 ID3375075187
PECOS Enrollment IDI20241017004259
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.

Other Providers at the Same Location NPPES 16

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

Registered Nurse (Case Management)
654 E 47TH ST
CHICAGO, IL 60653
Dentist
654 E 47TH ST
CHICAGO, IL 60653
Nurse Practitioner (Pediatrics)
654 E 47TH ST
CHICAGO, IL 60653
Dentist (General Practice)
654 E 47TH ST
CHICAGO, IL 60653
Pediatrics
654 E 47TH ST
CHICAGO, IL 60653
Physician Assistant
654 E 47TH ST
CHICAGO, IL 60653
Dentist (General Practice)
654 E 47TH ST
CHICAGO, IL 60653
Nurse Practitioner (Family)
654 E 47TH ST
CHICAGO, IL 60653

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 Joseph Wabomnor's NPI number?

The NPI number for Joseph Wabomnor is 1114782976. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Joseph Wabomnor located?

Joseph Wabomnor practices at 654 E 47th St, Chicago, IL 60653. The listed phone number is (224) 209-0192.

What is Joseph Wabomnor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Joseph Wabomnor enrolled in Medicare?

Yes. Joseph Wabomnor 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.

What insurance does Joseph Wabomnor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Joseph Wabomnor 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 Joseph Wabomnor was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.