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EBONI VAUGHN FNP
NPI 1417444969
Nurse Practitioner - Family in Naperville, IL

Active since April 20, 2018PECOS Enrolled
63 W 87TH ST, NAPERVILLE, IL 60565(630) 778-7645 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2018, Jun 16, 2018, Apr 20, 2018 (3 updates tracked since 2018).

About Eboni Vaughn Fnp NPPES

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

EBONI VAUGHN FNP (NPI 1417444969) is an individual family provider in Naperville, Illinois, licensed in Illinois (209017491) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417444969
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEBONI VAUGHNCredential: FNP
Location Address63 W 87TH STNaperville, IL 60565
Mailing Address5309 Imperial DrRichton Park, IL 60471-1557 · (708) 297-7325
Phone(630) 778-7645
Sole ProprietorYes
Enumeration DateApril 20, 2018
Last NPPES UpdateJune 19, 20183 updates tracked since enumeration
✔ NPI 1417444969 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 · 209017491
63 W 87TH ST, Naperville, IL 60565
Open in Google Maps ↗

Other Names 1

Former Name (1)Eboni Simmons

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eboni Vaughn Fnp 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 Eboni Vaughn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corporation
8.7 mi
Cardiovascular Disease
3825 HIGHLAND AVE, TOWER 2 SUITE 400
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1285903849 (630) 719-4799
The University Of Chicago Medical Center
27 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 635 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530

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 60565 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.

Other Providers at the Same Location NPPES 11

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

LEO L AMBROSE
Pharmacist
63 W 87TH ST
NAPERVILLE, IL 60565
Dupage County (630) 778-7645
NATALIYA MRUH
Pharmacist
63 W 87TH ST
NAPERVILLE, IL 60565
Dupage County (630) 778-7645
MR. HAO PAUL YANG RPH
Pharmacist
63 W 87TH ST
NAPERVILLE, IL 60565
Dupage County (630) 778-7645
DR. DEBORAH ING PHARMD
Pharmacist
63 W 87TH ST
NAPERVILLE, IL 60565
Dupage County (630) 778-7645
WALGREEN CO
Pharmacy
63 W 87TH ST
NAPERVILLE, IL 60565
Dupage County (630) 778-7645
HASSAN E ALMUKHTAR
Pharmacist
63 W 87TH ST
NAPERVILLE, IL 60565
Dupage County (630) 778-7645
MAIADA NOSSEIR
Pharmacist
63 W 87TH ST
NAPERVILLE, IL 60565
Dupage County (630) 778-7645
DR. HECTOR C DAVILA JR. PHARM.D.
Pharmacist
63 W 87TH ST
NAPERVILLE, IL 60565
Dupage County (630) 778-7645

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 Eboni Vaughn's NPI number?

The NPI number for Eboni Vaughn is 1417444969. It was assigned to this individual provider in the NPPES registry on April 20, 2018. The provider is also known as Eboni Simmons.

Where is Eboni Vaughn located?

Eboni Vaughn practices at 63 W 87th St, Naperville, IL 60565. The listed phone number is (630) 778-7645.

What is Eboni Vaughn's specialty?

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

Is Eboni Vaughn enrolled in Medicare?

Yes. Eboni Vaughn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eboni Vaughn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eboni Vaughn reassigns Medicare benefits to 2 organizations: Advocate Health And Hospitals Corporation (Downers Grove, IL) and The University Of Chicago Medical Center (Chicago, 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 Eboni Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eboni Vaughn accept?

Health plans from Oscar Health list Eboni Vaughn 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.

When was this NPI record last updated?

The NPPES record for Eboni Vaughn was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.