Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. QUEENETH N EGWU DNP
NPI 1194338160
Nurse Practitioner - Family in Mount Pleasant, WI

Active since August 28, 2020PECOS EnrolledAccepts Medicare Assignment
3805B SPRING ST STE 140, MOUNT PLEASANT, WI 53405(262) 506-1695(262) 440-2853 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2026, Jul 22, 2026, Jul 14, 2026 and 3 more (6 updates tracked since 2020).

About Dr. Queeneth N Egwu Dnp NPPES

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

DR. QUEENETH N EGWU DNP (NPI 1194338160) is an individual family provider in Mount Pleasant, Wisconsin, licensed in Illinois (209021726) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194338160
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. QUEENETH N EGWUCredential: DNP
Location Address3805B SPRING ST STE 140Mount Pleasant, WI 53405-1642
Mailing Address3030 Nicklaus LnWadsworth, IL 60083-8944 · (847) 693-1625
Fax(262) 440-2853
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 28, 2020
Last NPPES UpdateSeptember 18, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1194338160 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
Licenses✔ Licensed in IL · 209021726✔ Licensed in WI · 116433-33
3805B SPRING ST STE 140, Mount Pleasant, WI 53405

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Queeneth N Egwu Dnp 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 ID9335568021
PECOS Enrollment IDI20241022003868
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

5

Medicare enrollment records show Queeneth Egwu reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
3805B SPRING STREET, 140
Racine, WI 53405
  • Reassigned Medicare billing, Wisconsin enrollment
  • 88 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1218 W KILBOURN AVE
Milwaukee, WI 53233
  • Reassigned Medicare billing, Wisconsin enrollment
  • 50 clinicians in this Medicare group
Rehabilitation Practitioner
6352 N LINCOLN AVE
Chicago, IL 60659
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
Nurse Practitioner
1333 BURR RIDGE PKWY STE 200
Burr Ridge, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 183 clinicians in this Medicare group
Infectious Disease
430 E 162ND ST, #487
South Holland, IL 60473
  • Reassigned Medicare billing, Illinois enrollment
  • 57 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 53405 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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

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

Optometrist
3805B SPRING ST STE 140
MOUNT PLEASANT, WI 53405

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 Queeneth Egwu's NPI number?

The NPI number for Queeneth Egwu is 1194338160. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Queeneth Egwu located?

Queeneth Egwu practices at 3805B Spring St Ste 140, Mount Pleasant, WI 53405. The listed phone number is (262) 506-1695.

What is Queeneth Egwu's specialty?

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

Is Queeneth Egwu enrolled in Medicare?

Yes. Queeneth Egwu 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.

Which organizations bill Medicare for Queeneth Egwu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Queeneth Egwu reassigns Medicare benefits to 5 organizations: Outreach Community Health Centers Inc (Racine, WI), Progressive Community Health Centers, Inc. (Milwaukee, WI), Noel Castelino Sc (Chicago, IL), Paragon Clinical LLC (Burr Ridge, IL) and Chicagoland Infectious Disease PC (South Holland, IL). 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 Queeneth Egwu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Queeneth Egwu accept?

Health plans from Anthem Blue Cross and Blue Shield list Queeneth Egwu 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 Queeneth Egwu was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.