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FAYE GANDEZA IBANEZ CNP
NPI 1336623917
Nurse Practitioner in Chicago, IL

Active since September 20, 2018PECOS Enrolled
5140 N CALIFORNIA AVE STE G115, CHICAGO, IL 60625(773) 989-3803(773) 989-3979 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2020, Oct 30, 2020, Nov 30, 2018 and 1 more (4 updates tracked since 2018).

About Faye Gandeza Ibanez Cnp NPPES

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

FAYE GANDEZA IBANEZ CNP (NPI 1336623917) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209018210) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1336623917
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFAYE GANDEZA IBANEZCredential: CNP
Location Address5140 N CALIFORNIA AVE STE G115Chicago, IL 60625-4971
Mailing Address2650 Ridge AveEvanston, IL 60201-1700 · (773) 989-3803 · Fax (773) 878-5726
Phone(773) 989-3803
Fax(773) 989-3979
Sole ProprietorNo
Enumeration DateSeptember 20, 2018
Last NPPES UpdateMarch 21, 20224 updates tracked since enumeration
NPPES CertifiedMarch 21, 2022
✔ NPI 1336623917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209018210
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209.018210 (IL)
5140 N CALIFORNIA AVE STE G115, Chicago, IL 60625
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Secondary Practice Location 1

Location 12650 Ridge AveEvanston, IL 60201-1700 · Phone (773) 989-3803 · Fax (773) 878-5726

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Faye Gandeza Ibanez Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Faye Ibanez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swedish Covenant Management Services, Inc
Same address
Emergency Medicine
5140 N CALIFORNIA AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 350 clinicians in this Medicare group
NPI 1962049551 (847) 570-2040
Endeavor Health Medical Group
6.2 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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 60625 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY J SCHREIBER M.D.
Radiology (Radiation Oncology)
5140 N CALIFORNIA AVE STE G115
CHICAGO, IL 60625
Cook County (773) 989-1613

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 Faye Ibanez's NPI number?

The NPI number for Faye Ibanez is 1336623917. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Where is Faye Ibanez located?

Faye Ibanez practices at 5140 N California Ave Ste G115, Chicago, IL 60625. The listed phone number is (773) 989-3803.

What is Faye Ibanez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Faye Ibanez enrolled in Medicare?

Yes. Faye Ibanez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Faye Ibanez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Faye Ibanez reassigns Medicare benefits to 2 organizations: Swedish Covenant Management Services, Inc (Chicago, IL) and Endeavor Health Medical Group (Evanston, IL). 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 Faye Ibanez'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 Faye Ibanez was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.