GRACE NWAKA WABOMNOR ANP
NPI 1548725799
Nurse Practitioner - Adult Health in South Holland, IL

Q: 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.

Q: What is Grace Wabomnor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: 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 3 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.

Active since February 01, 2019PECOS EnrolledAccepts Medicare Assignment

17 E GRANDVIEW DR, SOUTH HOLLAND, IL 60473(708) 439-5003 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2026, Feb 1, 2019 (2 updates tracked since 2019).

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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

NPI1548725799

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameGRACE NWAKA WABOMNORCredential: ANP

Location Address17 E GRANDVIEW DRSouth Holland, IL 60473-1099

Mailing Address17 E Grandview DrSouth Holland, IL 60473-1099 · (708) 439-5003

Phone(708) 439-5003

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 1, 2019

Last NPPES UpdateMay 4, 20262 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1548725799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IL · 209018727

17 E GRANDVIEW DR, South Holland, IL 60473

Open in Google Maps ↗

Other Identifiers 1

Other209018727IL · Illinois Dept Of Financial And Professional Regulation

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID42552200

PECOS Enrollment IDI20190508002619

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 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.

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.

Other Providers at the Same Location NPPES

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

WHOLEBODY VISITING PHYSICIANS

Family Medicine

17 E GRANDVIEW DR
SOUTH HOLLAND, IL 60473

Cook County (708) 439-5003

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.

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 3 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.