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

Q: 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.

Q: What is Eboni Vaughn's specialty?

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

Q: 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.

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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

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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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