MS. IYEOKAN EMMANUELA ATIVIE FNP-C
NPI 1205421815
Nurse Practitioner - Family in New Lenox, IL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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).
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.
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.
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.
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.
What insurance does Iyeokan Ativie accept?
Health plans from CareSource 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.
# Ms. Iyeokan Emmanuela Ativie, FNP-C · NPI 1205421815
Family physician in New Lenox, Illinois. Individual provider, active in the CMS NPPES registry since March 5, 2021.
## Identity
- **NPI:** 1205421815 (Entity type: Individual)
- **Enumerated:** March 5, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209022852 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2050 NELSON RD, New Lenox, IL 60451-8537
- **Phone:** (815) 463-5281
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 5, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1205421815) · Data from the CMS NPPES public registry.