ROSE HENRY MARIETTE EBOH NP
NPI 1841948932
Nurse Practitioner - Family in Wauconda, IL

Q: What is Rose Henry Eboh's NPI number?

The NPI number for Rose Henry Eboh is 1841948932. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Q: What is Rose Henry Eboh'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 Rose Henry Eboh was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 16, 2022PECOS EnrolledAccepts Medicare Assignment

431 W LIBERTY ST, WAUCONDA, IL 60084(847) 526-2151(847) 526-2017 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rose Henry Mariette Eboh Np NPPES

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

ROSE HENRY MARIETTE EBOH NP (NPI 1841948932) is an individual family provider in Wauconda, Illinois, licensed in Illinois (209.022553) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Vista Medical Center East, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1841948932

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameROSE HENRY MARIETTE EBOHCredential: NP

Location Address431 W LIBERTY STWauconda, IL 60084-2452

Mailing AddressPo Box 6037Wauconda, IL 60084-6037 · (847) 526-2151 · Fax (847) 526-2017

Phone(847) 526-2151

Fax(847) 526-2017

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 16, 2022

Last NPPES UpdateSeptember 15, 2022

NPPES CertifiedSeptember 15, 2022

✔ NPI 1841948932 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 · 209.022553

431 W LIBERTY ST, Wauconda, IL 60084

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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 and more.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

Rose Henry Mariette Eboh 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 ID9032595921

PECOS Enrollment IDI20220929002544

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.

Vista Medical Center East

Acute Care Hospitals · Waukegan, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140084

Location1324 North Sheridan RoadWaukegan, IL 60085 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60084 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

KRISTINE M REDMOND APRN, NP-C

Nurse Practitioner (Family)