GRACE OSEIWE OBOH
NPI 1194576793
Nurse Practitioner - Family in Champaign, IL

Q: What is Grace Oboh's NPI number?

The NPI number for Grace Oboh is 1194576793. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Q: What is Grace Oboh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grace Oboh was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 April 01, 2024PECOS Enrolled

1801 W WINDSOR RD, CHAMPAIGN, IL 61822(217) 366-1200 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Aug 14, 2024, Jul 15, 2024 and 2 more (5 updates tracked since 2024).

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About Grace Oseiwe Oboh NPPES

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

GRACE OSEIWE OBOH (NPI 1194576793) is an individual family provider in Champaign, Illinois, licensed in Illinois (209030000) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194576793

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGRACE OSEIWE OBOH

Location Address1801 W WINDSOR RDChampaign, IL 61822-6217

Mailing Address101 W University AveChampaign, IL 61820-3981 · (217) 366-8130

Phone(217) 366-1200

Sole ProprietorNo

Enumeration DateApril 1, 2024

Last NPPES UpdateSeptember 17, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1194576793 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

License✔ Licensed in IL · 209030000

1801 W WINDSOR RD, Champaign, IL 61822

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Oseiwe Oboh 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.

Areas of Expertise CMS Part B claims

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.

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.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61822 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

DR. IRSHAD AHMED SIDDIQUI M.D.

Family Medicine