EDEN ELON MEDICAL PLLC
NPI 1548143191
Nurse Practitioner - Primary Care in Plainfield, IL
About Eden Elon Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDEN ELON MEDICAL PLLC (NPI 1548143191) is a healthcare organization registered as a primary care in Plainfield, Illinois and active in the NPI registry since July 2025. The organization lists Ebony P Belle-johnson, Advanced Practice Nurse Practitione, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eden Elon Medical Pllc 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 Eden Elon Medical PLLC, 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 Eden Elon Medical PLLC's NPI number?
The NPI number for Eden Elon Medical PLLC is 1548143191. It was assigned to this organization in the NPPES registry on July 30, 2025.
Where is Eden Elon Medical PLLC located?
Eden Elon Medical PLLC is located at 6307 Fox Ridge Dr, Plainfield, IL 60586. The listed phone number is (708) 250-8799.
What is Eden Elon Medical PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Eden Elon Medical PLLC enrolled in Medicare?
Yes. Eden Elon Medical PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eden Elon Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Eden Elon Medical PLLC. 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 Eden Elon Medical PLLC was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Eden Elon Medical Pllc · NPI 1548143191
Primary Care organization in Plainfield, Illinois. Organization record, active in the CMS NPPES registry since July 30, 2025.
## Identity
- **NPI:** 1548143191 (Entity type: Organization)
- **Enumerated:** July 30, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Ebony Belle-Johnson, ADVANCED PRACTICE NURSE PRACTITIONE
## Practice location
- **Address:** 6307 FOX RIDGE DR, Plainfield, IL 60586-5565
- **Phone:** (708) 250-8799
## 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:** July 30, 2025
- **Other identifiers:** Medicaid 1841736642 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1548143191) · Data from the CMS NPPES public registry.