SHEENA MBACHU
NPI 1225423841
Hospitalist in Rock Island, IL
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, is affiliated with Unitypoint Health - Meriter, and is a graduate of Morehouse School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
10Medicare enrollment records show Sheena Mbachu reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dubuque, IA 52001
- Reassigned Medicare billing, Illinois enrollment
- 14 clinicians in this Medicare group
Peoria, IL 61614
- Reassigned Medicare billing, Illinois enrollment
- 349 clinicians in this Medicare group
Peoria, IL 61636
- Reassigned Medicare billing, Illinois enrollment
- 693 clinicians in this Medicare group
Pekin, IL 61554
- Reassigned Medicare billing, Illinois enrollment
- 142 clinicians in this Medicare group
Grinnell, IA 50112
- Reassigned Medicare billing, Illinois enrollment
- 11 clinicians in this Medicare group
Madison, WI 53715
- Reassigned Medicare billing, Illinois enrollment
- 2 clinicians in this Medicare group
Evanston, IL 60201
- Reassigned Medicare billing, Illinois enrollment
- 4,841 clinicians in this Medicare group
West Des Moines, IA 50266
- Reassigned Medicare billing, Illinois enrollment
- 178 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Illinois and Texas enrollments
- 712 clinicians in this Medicare group
Cambridge, MA 02139
- Reassigned Medicare billing, Illinois, Texas and Wisconsin enrollments
- Medicare enrollment name: East Harbor Partners PC
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unitypoint Health - Meriter
Acute Care Hospitals · Madison, WIPhysician 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.
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
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.
ROCK ISLAND, IL 61201
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 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.
Where is Sheena Mbachu located?
Sheena Mbachu practices at 2701 17th St, Rock Island, IL 61201. The listed phone number is (309) 779-5000.
What is Sheena Mbachu's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Sheena Mbachu enrolled in Medicare?
Yes. Sheena Mbachu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sheena Mbachu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheena Mbachu reassigns Medicare benefits to 10 organizations: The Finley Hospital (Dubuque, IA), Proctor Health Systems (Peoria, IL), Methodist Medical Center Of Illinois (Peoria, IL), Pekin Prohealth Inc (Pekin, IL), Grinnell Regional Medical Center (Grinnell, IA) and 5 more organizations, listed in the Medicare section above. 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 Sheena Mbachu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheena Mbachu accept?
Health plans from Group Health Cooperative-SCW and Wellmark Health Plan of Iowa, Inc. list Sheena Mbachu 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.
Is Sheena Mbachu affiliated with any hospitals?
According to CMS data, Sheena Mbachu is affiliated with Unitypoint Health - Meriter.
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.
# Sheena Mbachu · NPI 1225423841
Hospitalist physician in Rock Island, Illinois. Individual provider, active in the CMS NPPES registry since March 31, 2015.
## Identity
- **NPI:** 1225423841 (Entity type: Individual)
- **Enumerated:** March 31, 2015
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 036144136 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2701 17TH ST, Rock Island, IL 61201-5351
- **Phone:** (309) 779-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): The Finley Hospital (NPI 1073560462, Dubuque, IA); Proctor Health Systems (NPI 1720223837, Peoria, IL); Methodist Medical Center Of Illinois (NPI 1275583155, Peoria, IL); Pekin Prohealth Inc (NPI 1932150299, Pekin, IL); Grinnell Regional Medical Center (NPI 1437663242, Grinnell, IA); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Morehouse School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** February 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225423841) · Data from the CMS NPPES public registry.