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IVONA BOUSHEH
NPI 1548097769
Nurse Practitioner - Family in Northbrook, IL

Active since September 19, 2024PECOS Enrolled
3050 PHEASANT CREEK DR APT 104, NORTHBROOK, IL 60062(773) 954-4577 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Sep 19, 2024 (2 updates tracked since 2024).

About Ivona Bousheh NPPES

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

IVONA BOUSHEH (NPI 1548097769) is an individual family provider in Northbrook, Illinois, licensed in Illinois (209.030739) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548097769
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIVONA BOUSHEH
Location Address3050 PHEASANT CREEK DR APT 104Northbrook, IL 60062-3369
Mailing Address3050 Pheasant Creek Dr Apt 104Northbrook, IL 60062-3369 · (773) 954-4577
Phone(773) 954-4577
Sole ProprietorYes
Enumeration DateSeptember 19, 2024
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1548097769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.030739
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3050 PHEASANT CREEK DR APT 104, Northbrook, IL 60062
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivona Bousheh 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 60062 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.

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 Ivona Bousheh's NPI number?

The NPI number for Ivona Bousheh is 1548097769. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Where is Ivona Bousheh located?

Ivona Bousheh practices at 3050 Pheasant Creek Dr Apt 104, Northbrook, IL 60062. The listed phone number is (773) 954-4577.

What is Ivona Bousheh's specialty?

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

Is Ivona Bousheh enrolled in Medicare?

Yes. Ivona Bousheh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivona Bousheh was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.