SHEENA MBACHU
NPI 1225423841
Hospitalist in Rock Island, IL

Q: What is Sheena Mbachu's NPI number?

The NPI number for Sheena Mbachu is 1225423841. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Q: What is Sheena Mbachu's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Sheena Mbachu was last updated on February 14, 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 March 31, 2015PECOS EnrolledAccepts Medicare Assignment

2701 17TH ST, ROCK ISLAND, IL 61201(309) 779-5000 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2020, May 18, 2020, Nov 8, 2018 and 2 more (5 updates tracked since 2018).

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About Sheena Mbachu NPPES

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

SHEENA MBACHU (NPI 1225423841) is an individual hospitalist provider in Rock Island, Illinois, licensed in Illinois (036144136) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (2015).

NPPES Registry Identity

NPI1225423841

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameSHEENA MBACHU

Location Address2701 17TH STRock Island, IL 61201-5351

Mailing Address2701 17th StRock Island, IL 61201-5351 · (952) 393-1845

Phone(309) 779-5000

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2015

Enumeration DateMarch 31, 2015

Last NPPES UpdateFebruary 14, 20245 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2024

✔ NPI 1225423841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in IL · 036144136✔ Licensed in TX · R7062✔ Licensed in IN · 01079902A✔ Licensed in IA · MD48130✔ Licensed in WI · 8296820

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

2701 17TH ST, Rock Island, IL 61201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Sheena Mbachu 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 ID3577873249

PECOS Enrollment IDI20180828003032

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

82 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61201 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%209 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. QUANG TUNG NGUYEN M.D.

Internal Medicine

2701 17TH ST, HOSPITALIST PROGRAM
ROCK ISLAND, IL 61201

Rock Island County (309) 779-3100

DEEPTA SHANKAR ATRE STRAND M.D.

Emergency Medicine