EVIE LIFE PSYCHIATRY LLC
NPI 1306614664
Nurse Practitioner - Psychiatric/Mental Health in Elmhurst, IL
About Evie Life Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVIE LIFE PSYCHIATRY LLC (NPI 1306614664) is a healthcare organization registered as a psychiatric/mental health in Elmhurst, Illinois and active in the NPI registry since December 2023. The organization lists Imuentiyan Faith Oyesiku, Psychiatric Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evie Life Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Evie Life Psychiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Evie Life Psychiatry LLC's NPI number?
The NPI number for Evie Life Psychiatry LLC is 1306614664. It was assigned to this organization in the NPPES registry on December 18, 2023.
Where is Evie Life Psychiatry LLC located?
Evie Life Psychiatry LLC is located at 340 W Butterfield Rd, Elmhurst, IL 60126. The listed phone number is (312) 779-6778.
What is Evie Life Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Evie Life Psychiatry LLC enrolled in Medicare?
Yes. Evie Life Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evie Life Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Evie Life Psychiatry LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Evie Life Psychiatry LLC was last updated on April 15, 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.
# Evie Life Psychiatry Llc · NPI 1306614664
Psychiatric/Mental Health organization in Elmhurst, Illinois. Organization record, active in the CMS NPPES registry since December 18, 2023.
## Identity
- **NPI:** 1306614664 (Entity type: Organization)
- **Enumerated:** December 18, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Imuentiyan Oyesiku, PSYCHIATRIC NURSE PRACTITIONER
## Practice location
- **Address:** 340 W BUTTERFIELD RD, Elmhurst, IL 60126-5069
- **Phone:** (312) 779-6778
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1306614664) · Data from the CMS NPPES public registry.