ADAEZE ILO
NPI 1134524317
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adaeze Ilo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Adaeze Ilo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tonto Basin, AZ 85553
- Reassigned Medicare billing, Arizona enrollment
- 94 clinicians in this Medicare group
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 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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85004
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 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.
Where is Adaeze Ilo located?
Adaeze Ilo practices at 2 N Central Ave, Phoenix, AZ 85004. The listed phone number is (951) 545-1482.
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.
Is Adaeze Ilo enrolled in Medicare?
Yes. Adaeze Ilo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Adaeze Ilo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adaeze Ilo reassigns Medicare benefits to Cobre Valley Regional Medical Center (Tonto Basin, AZ). The 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 Adaeze Ilo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adaeze Ilo accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Adaeze Ilo 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 Adaeze Ilo was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Adaeze Ilo · NPI 1134524317
Psychiatric/Mental Health physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since October 30, 2014.
## Identity
- **NPI:** 1134524317 (Entity type: Individual)
- **Enumerated:** October 30, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 287006 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 2 N CENTRAL AVE, Phoenix, AZ 85004-2322
- **Phone:** (951) 545-1482
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cobre Valley Regional Medical Center (NPI 1144799677, Tonto Basin, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 26, 2025
- **Other identifiers:** Other 287006 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1134524317) · Data from the CMS NPPES public registry.