1. Home
  2. Directory
  3. Illinois
  4. New Lenox
  5. Nurse Practitioner
  6. NPI Profile

MS. IYEOKAN EMMANUELA ATIVIE FNP-C
NPI 1205421815
Nurse Practitioner - Family in New Lenox, IL

Active since March 05, 2021PECOS Enrolled
82.3/100
CMS Quality Rating
2050 NELSON RD, NEW LENOX, IL 60451(815) 463-5281 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Iyeokan Emmanuela Ativie Fnp-c NPPES

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

MS. IYEOKAN EMMANUELA ATIVIE FNP-C (NPI 1205421815) is an individual family provider in New Lenox, Illinois, licensed in Illinois (209022852) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205421815
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. IYEOKAN EMMANUELA ATIVIECredential: FNP-C
Location Address2050 NELSON RDNew Lenox, IL 60451-8537
Mailing Address3001 S King Dr Apt 1801Chicago, IL 60616-3330 · (773) 372-0827
Phone(815) 463-5281
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
✔ NPI 1205421815 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 · 209022852
2050 NELSON RD, New Lenox, IL 60451
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Iyeokan Emmanuela Ativie Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406245182
PECOS Enrollment IDI20260623003105
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

2

Medicare enrollment records show Iyeokan Ativie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health, LLC
765 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Signify Health Medical Associates, PLLC
765 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois, Michigan and Minnesota enrollments
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 60451 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.7
Improvement Activities40
Cost81.88

Other Providers at the Same Location NPPES 9

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

SARAH CUPP FNP
Nurse Practitioner (Family)
2050 NELSON RD
NEW LENOX, IL 60451
Will County (866) 389-2727
BETHANY WOLF
Nurse Practitioner (Family)
2050 NELSON RD
NEW LENOX, IL 60451
Will County (815) 557-1897
RANDELL MORELLI JR.
Pharmacist (Ambulatory Care)
2050 NELSON RD
NEW LENOX, IL 60451
Will County (815) 463-5281
MRS. JENNIFER A KANTORSKI RPH
Pharmacist
2050 NELSON RD
NEW LENOX, IL 60451
Will County (815) 463-5281
SAMANTHA E PASTORIK
Pharmacist
2050 NELSON RD
NEW LENOX, IL 60451
Will County (815) 463-5281
DR. ROXANA MARIA MAIERS PHARMD
Pharmacist
2050 NELSON RD
NEW LENOX, IL 60451
Will County (815) 463-5281
OMAR ALTABAKHI
Pharmacist
2050 NELSON RD
NEW LENOX, IL 60451
Will County (815) 463-5281
TAWAKALIT F ALAO
Nurse Practitioner (Family)
2050 NELSON RD
NEW LENOX, IL 60451
Will County (815) 463-5280

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 Iyeokan Ativie's NPI number?

The NPI number for Iyeokan Ativie is 1205421815. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Iyeokan Ativie located?

Iyeokan Ativie practices at 2050 Nelson Rd, New Lenox, IL 60451. The listed phone number is (815) 463-5281.

What is Iyeokan Ativie's specialty?

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

Is Iyeokan Ativie enrolled in Medicare?

Yes. Iyeokan Ativie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Iyeokan Ativie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Iyeokan Ativie reassigns Medicare benefits to 2 organizations: Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Iyeokan Ativie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Iyeokan Ativie accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Iyeokan Ativie 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 Iyeokan Ativie was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.