GRACE NWAKA WABOMNOR ANP
NPI 1548725799
Nurse Practitioner - Adult Health in South Holland, IL
About Grace Nwaka Wabomnor Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE NWAKA WABOMNOR ANP (NPI 1548725799) is an individual adult health provider in South Holland, Illinois, licensed in Illinois (209018727) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Grace Nwaka Wabomnor Anp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Grace Wabomnor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Holland, IL 60473
- Reassigned Medicare billing, Illinois enrollment
Chicago, IL 60630
- Reassigned Medicare billing, Illinois enrollment
- 11 clinicians in this Medicare group
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 60473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Grace Wabomnor's NPI number?
The NPI number for Grace Wabomnor is 1548725799. It was assigned to this individual provider in the NPPES registry on February 1, 2019.
Where is Grace Wabomnor located?
Grace Wabomnor practices at 17 E Grandview Dr, South Holland, IL 60473. The listed phone number is (708) 439-5003.
What is Grace Wabomnor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Grace Wabomnor enrolled in Medicare?
Yes. Grace Wabomnor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Grace Wabomnor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Wabomnor reassigns Medicare benefits to 2 organizations: Wholebody Visiting Physicians (South Holland, IL) and Illinois Doctors On Demand (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 Grace Wabomnor'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 Grace Wabomnor was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Grace Nwaka Wabomnor, ANP · NPI 1548725799
Adult Health physician in South Holland, Illinois. Individual provider, active in the CMS NPPES registry since February 1, 2019.
## Identity
- **NPI:** 1548725799 (Entity type: Individual)
- **Enumerated:** February 1, 2019
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 209018727 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 17 E GRANDVIEW DR, South Holland, IL 60473-1099
- **Phone:** (708) 439-5003
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wholebody Visiting Physicians (NPI 1851927446, South Holland, IL); Illinois Doctors On Demand (NPI 1780148072, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 4, 2026
- **Other identifiers:** Other 209018727 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1548725799) · Data from the CMS NPPES public registry.