MR. LUBASI AKOMBELWA NP
NPI 1811489479
Nurse Practitioner in Belleville, IL

Q: What is Lubasi Akombelwa's NPI number?

The NPI number for Lubasi Akombelwa is 1811489479. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Q: What is Lubasi Akombelwa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lubasi Akombelwa was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 30, 2018PECOS EnrolledAccepts Medicare Assignment

4500 MEMORIAL DR, BELLEVILLE, IL 62226(618) 257-6220 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Lubasi Akombelwa Np NPPES

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

MR. LUBASI AKOMBELWA NP (NPI 1811489479) is an individual nurse practitioner in Belleville, Illinois, licensed in Illinois (209032027) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1811489479

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. LUBASI AKOMBELWACredential: NP

Location Address4500 MEMORIAL DRBelleville, IL 62226-5360

Mailing AddressPo Box 959203Saint Louis, MO 63195-9203 · (618) 257-6220 · Fax (618) 257-6679

Phone(618) 257-6220

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 30, 2018

Last NPPES UpdateSeptember 17, 2025

NPPES CertifiedSeptember 17, 2025

✔ NPI 1811489479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209032027

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4500 MEMORIAL DR, Belleville, IL 62226

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Secondary Practice Location 1

Location 12880 Netherton Dr Ste 200Saint Louis, MO 63136-4697 · Phone (314) 355-5300

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

Mr. Lubasi Akombelwa Np 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 ID5193060135

PECOS Enrollment IDI20181220000841, I20250612002375

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

229 services204 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140002

LocationOne Memorial DriveAlton, IL 62002 · Madison County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260180

Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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 20

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

CEP AMERICA - ILLINOIS SNF, LLP

Internal Medicine (Infectious Disease)

4500 MEMORIAL DR
BELLEVILLE, IL 62226

St. Clair County (618) 233-7750

MS. LAUREN NICOLE MARSHALL FNP

Nurse Practitioner

4500 MEMORIAL DR
BELLEVILLE, IL 62226

St. Clair County (618) 257-5455

MR. LITO T RUFIN NP

Nurse Practitioner

4500 MEMORIAL DR
BELLEVILLE, IL 62226

St. Clair County (618) 257-6220

KIM C WRIGLEY P.A.

Physician Assistant

4500 MEMORIAL DR
BELLEVILLE, IL 62226

St. Clair County (618) 257-6220

BRIAN BENDEL

Nurse Anesthetist, Certified Registered

4500 MEMORIAL DR
BELLEVILLE, IL 62226

St. Clair County (561) 623-2008

DR. PAUL D SANDER MD

Pain Medicine (Pain Medicine)

4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226

St. Clair County (618) 257-4076

DR. NEIL MCCLYMONT D.O.

Emergency Medicine

4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226

St. Clair County (618) 233-7750

DR. VIBHU DHAWAN MD

Internal Medicine

4500 MEMORIAL DR
BELLEVILLE, IL 62226

St. Clair County (618) 257-6220

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 Lubasi Akombelwa's NPI number?

The NPI number for Lubasi Akombelwa is 1811489479. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Lubasi Akombelwa located?

Lubasi Akombelwa practices at 4500 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 257-6220.

What is Lubasi Akombelwa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lubasi Akombelwa enrolled in Medicare?

Yes. Lubasi Akombelwa 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.

Is Lubasi Akombelwa affiliated with any hospitals?

According to CMS data, Lubasi Akombelwa is affiliated with Alton Memorial Hospital, Memorial Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Lubasi Akombelwa was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.