DR. ONYEISI STEPHEN OGBOMEH DNP, APRN-FPA,FNP-BC
NPI 1306480025
Nurse Practitioner - Family in Lake Villa, IL
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Onyeisi Ogbomeh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lake Villa, IL 60046
- Reassigned Medicare billing, Illinois enrollment
Oakbrook Terrace, IL 60181
- Reassigned Medicare billing, Illinois enrollment
- 43 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Illinois and Texas enrollments
- 712 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE VILLA, IL 60046
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 25111 W Warren 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.
Which organizations bill Medicare for Onyeisi Ogbomeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Onyeisi Ogbomeh reassigns Medicare benefits to 3 organizations: Reassure Health PLLC (Lake Villa, IL), Cardiorenal Therapeutics Of Illinois PLLC (Oakbrook Terrace, IL) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Onyeisi Ogbomeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Onyeisi Ogbomeh was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.
# Dr. Onyeisi Stephen Ogbomeh, DNP, APRN-FPA,FNP-BC · NPI 1306480025
Family physician in Lake Villa, Illinois. Individual provider, active in the CMS NPPES registry since November 6, 2019.
## Identity
- **NPI:** 1306480025 (Entity type: Individual)
- **Enumerated:** November 6, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209020388 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 25111 W WARREN AVE, Lake Villa, IL 60046-9741
- **Phone:** (224) 844-3763
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Reassure Health PLLC (NPI 1245113786, Lake Villa, IL); Cardiorenal Therapeutics Of Illinois PLLC (NPI 1336752682, Oakbrook Terrace, IL); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306480025) · Data from the CMS NPPES public registry.