ADAEZE ILO - NPI 1134524317 - Nurse Practitioner in Phoenix, AZ

Q: What is Adaeze Ilo's NPI number?

The NPI number for Adaeze Ilo is 1134524317. It was assigned to this individual provider in the NPPES registry on October 30, 2014.

Q: What is Adaeze Ilo'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 Adaeze Ilo was last updated on September 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Adaeze Ilo NPPES

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

ADAEZE ILO (NPI 1134524317) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (287006) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Globe, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1134524317

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameADAEZE ILO

Location Address2 N CENTRAL AVEPhoenix, AZ 85004-2322

Mailing Address4053 Kyndra CirRichardson, TX 75082-2762 · (951) 545-1482

Phone(951) 545-1482

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 30, 2014

Last NPPES UpdateSeptember 26, 2025

NPPES CertifiedSeptember 26, 2025

✔ NPI 1134524317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

Licenses✔ Licensed in AZ · 287006✔ Licensed in TX · 1075587

2 N CENTRAL AVE, Phoenix, AZ 85004

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Secondary Practice Location 1

Location 15990 S Hospital DrGlobe, AZ 85501-9462 · Phone (928) 425-8151 · Fax (928) 425-9425

Other Identifiers 1

Other287006AZ · Nursing License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6002306859

PECOS Enrollment IDI20251110000528

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85004 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.