SONJA ENGE-GILTON
NPI 1659823458
Nurse Practitioner - Family in Chicago Heights, IL

Q: What is Sonja Enge-gilton's NPI number?

The NPI number for Sonja Enge-gilton is 1659823458. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Q: What is Sonja Enge-gilton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sonja Enge-gilton was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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 October 27, 2016PECOS EnrolledAccepts Medicare Assignment

72.99/100

CMS Quality Rating

222 VOLLMER RD, CHICAGO HEIGHTS, IL 60411(773) 754-8522 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2018, Oct 27, 2016 (2 updates tracked since 2016).

On this page

About Sonja Enge-gilton NPPES

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

SONJA ENGE-GILTON (NPI 1659823458) is an individual family provider in Chicago Heights, Illinois, licensed in Illinois (209014970) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1659823458

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSONJA ENGE-GILTON

Location Address222 VOLLMER RDChicago Heights, IL 60411-1664

Mailing Address222 Vollmer RdChicago Heights, IL 60411-1664 · (708) 754-8522

Phone(773) 754-8522

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 27, 2016

Last NPPES UpdateMay 8, 20182 updates tracked since enumeration

✔ NPI 1659823458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209014970

222 VOLLMER RD, Chicago Heights, IL 60411

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Sonja Enge-gilton 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 ID3375818065

PECOS Enrollment IDI20171005001800

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60411 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.36

Promoting Interoperability

Improvement Activities

Cost

22.28

Reported Quality Measures

Breast Cancer Screening

54%70 patients3/55-star benchmark: 93%

Colorectal Cancer Screening

25%165 patients2/55-star benchmark: 88%

Diabetes: Eye Exam

4%71 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

41%71 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

93%726 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

27%277 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 45% · 316 patients

Patients screened: 50% · 316 patients

53%36 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

GATEWAY HEALTH SYSTEMS, INC.

Home Health

222 VOLLMER RD
CHICAGO HEIGHTS, IL 60411

Cook County (708) 754-9674

TRUE HEIGHTS TREATMENT LLC

Counselor (Professional)

222 VOLLMER RD
CHICAGO HEIGHTS, IL 60411

Cook County (708) 769-5015

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 Sonja Enge-gilton's NPI number?

The NPI number for Sonja Enge-gilton is 1659823458. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Where is Sonja Enge-gilton located?

Sonja Enge-gilton practices at 222 Vollmer Rd, Chicago Heights, IL 60411. The listed phone number is (773) 754-8522.

What is Sonja Enge-gilton's specialty?

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

Is Sonja Enge-gilton enrolled in Medicare?

Yes. Sonja Enge-gilton 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.

What insurance does Sonja Enge-gilton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sonja Enge-gilton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sonja Enge-gilton affiliated with any hospitals?

According to CMS data, Sonja Enge-gilton is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Sonja Enge-gilton was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.