Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VICTORIA FAYTH INGRAM PA-C
NPI 1639915713
Physician Assistant in Chicago, IL

Q: What is Victoria Ingram's NPI number?

The NPI number for Victoria Ingram is 1639915713. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Q: What is Victoria Ingram's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Victoria Ingram was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 July 08, 2024PECOS Enrolled

1203 W AUGUSTA BLVD STE 1, CHICAGO, IL 60642(773) 248-2255 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 30, 2026, Feb 2, 2026, Jul 12, 2024 (3 updates tracked since 2024).

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About Victoria Fayth Ingram Pa-c NPPES

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

VICTORIA FAYTH INGRAM PA-C (NPI 1639915713) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085011632) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639915713

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameVICTORIA FAYTH INGRAMCredential: PA-C

Location Address1203 W AUGUSTA BLVD STE 1Chicago, IL 60642-4327

Mailing Address5 Barbara CtSpringfield, IL 62704-4949 · (314) 608-1280

Phone(773) 248-2255

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 8, 2024

Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1639915713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085011632

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1203 W AUGUSTA BLVD STE 1, Chicago, IL 60642

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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 and accepts Medicare assignment

Victoria Fayth Ingram Pa-c 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 ID8820553225

PECOS Enrollment IDI20260716002322

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 60642 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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 20

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

ELIZABETH M WENGEL APN

Nurse Practitioner (Psychiatric/Mental Health)