ELIZABETH A EBEYWA DNP
NPI 1205552114
Nurse Practitioner - Adult Health in Homewood, IL

Q: What is Elizabeth Ebeywa's NPI number?

The NPI number for Elizabeth Ebeywa is 1205552114. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Q: What is Elizabeth Ebeywa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Ebeywa was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 13, 2022PECOS EnrolledAccepts Medicare Assignment

19000 HALSTED ST, HOMEWOOD, IL 60430(708) 957-9200 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2024, Oct 13, 2022 (2 updates tracked since 2022).

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About Elizabeth A Ebeywa Dnp NPPES

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

ELIZABETH A EBEYWA DNP (NPI 1205552114) is an individual adult health provider in Homewood, Illinois, licensed in Illinois (209.024404) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205552114

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameELIZABETH A EBEYWACredential: DNP

Location Address19000 HALSTED STHomewood, IL 60430-4204

Mailing Address29373 Network PlChicago, IL 60673-1293

Phone(708) 957-9200

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 13, 2022

Last NPPES UpdateJune 4, 20242 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1205552114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IL · 209.024404

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 041.433397 (IL)

19000 HALSTED ST, Homewood, IL 60430

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Secondary Practice Locations 2

Location 12301 E 93rd St Ste 115Chicago, IL 60617-3986 · Phone (708) 636-7575

Location 2745 McClintock Dr Ste 360Burr Ridge, IL 60527-0875 · Phone (630) 832-1774 · Fax (630) 832-3078

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth A Ebeywa 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 ID5496122459

PECOS Enrollment IDI20221103001302

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 2

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

96 services23 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

53 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140048

Location2320 E 93rd StChicago, IL 60617 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60430 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 7

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

JESSICA TIFFANY GRIFFIN

Physical Therapy Assistant