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DR. ONYEISI STEPHEN OGBOMEH DNP, APRN-FPA,FNP-BC
NPI 1306480025
Nurse Practitioner - Family in Lake Villa, IL

Active since November 06, 2019PECOS EnrolledAccepts Medicare Assignment
206 CEDAR AVE, LAKE VILLA, IL 60046(224) 844-3763 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Onyeisi Stephen Ogbomeh Dnp, Aprn-fpa,fnp-bc NPPES

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

DR. ONYEISI STEPHEN OGBOMEH DNP, APRN-FPA,FNP-BC (NPI 1306480025) is an individual family provider in Lake Villa, Illinois, licensed in Illinois (209020388) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306480025
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. ONYEISI STEPHEN OGBOMEHCredential: DNP, APRN-FPA,FNP-BC
Location Address206 CEDAR AVELake Villa, IL 60046-4600
Mailing Address206 Cedar AveLake Villa, IL 60046-4600 · (773) 791-2317
Phone(224) 844-3763
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 6, 2019
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1306480025 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 · 209020388
206 CEDAR AVE, Lake Villa, IL 60046
Open in Google Maps ↗

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

Dr. Onyeisi Stephen Ogbomeh Dnp, Aprn-fpa,fnp-bc 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 ID8921454695
PECOS Enrollment IDI20231101001262
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60046 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.

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 Onyeisi Ogbomeh's NPI number?

The NPI number for Onyeisi Ogbomeh is 1306480025. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Where is Onyeisi Ogbomeh located?

Onyeisi Ogbomeh practices at 206 Cedar Ave, Lake Villa, IL 60046. The listed phone number is (224) 844-3763.

What is Onyeisi Ogbomeh's specialty?

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

Is Onyeisi Ogbomeh enrolled in Medicare?

Yes. Onyeisi Ogbomeh 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.

When was this NPI record last updated?

The NPPES record for Onyeisi Ogbomeh was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.