MRS. GLORY OBIANUJU IKERODAH FNP
NPI 1932675006
Nurse Practitioner in Kankakee, IL

Q: What is Glory Ikerodah's NPI number?

The NPI number for Glory Ikerodah is 1932675006. It was assigned to this individual provider in the NPPES registry on October 16, 2018.

Q: What is Glory Ikerodah'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 Glory Ikerodah was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 16, 2018PECOS EnrolledAccepts Medicare Assignment

1777 E COURT ST, KANKAKEE, IL 60901(773) 676-4076 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2020, Oct 16, 2018 (2 updates tracked since 2018).

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About Mrs. Glory Obianuju Ikerodah Fnp NPPES

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

MRS. GLORY OBIANUJU IKERODAH FNP (NPI 1932675006) is an individual nurse practitioner in Kankakee, Illinois, licensed in Illinois (277.002987) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1932675006

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. GLORY OBIANUJU IKERODAHCredential: FNP

Location Address1777 E COURT STKankakee, IL 60901-2670

Mailing Address1777 E Court StKankakee, IL 60901-2670 · (877) 692-8686 · Fax (815) 937-0655

Phone(773) 676-4076

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 16, 2018

Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration

NPPES CertifiedMarch 13, 2024

✔ NPI 1932675006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in IL · 277.002987✔ Licensed in IL · 209018155

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.

1777 E COURT ST, Kankakee, IL 60901

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Glory Obianuju Ikerodah Fnp 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 ID8224382346

PECOS Enrollment IDI20181108000904

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.

Medicare Billing Reassignments

Medicare enrollment records show Glory Ikerodah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chicago Medical Group, Inc.

34 mi

Multi-Specialty

15255 S 94TH AVE STE 500
Orland Park, IL 60462

Reassigned Medicare billing, Illinois enrollment
23 clinicians in this Medicare group

NPI 1285972505 (708) 800-2231

Sas Surgical Ltd.

36 mi

Surgery

71 W 156TH ST, SUITE 311
Harvey, IL 60426

Reassigned Medicare billing, Illinois enrollment
3 clinicians in this Medicare group

NPI 1841676038 (708) 476-8205

Midwest Home Physicians Inc

324 mi

Multi-Specialty

1536 SAINT CLAIR AVE NE
Cleveland, OH 44114

Reassigned Medicare billing, Illinois enrollment
20 clinicians in this Medicare group

NPI 1760086540 (216) 243-9188

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

196 services83 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

26 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140048

Location2320 E 93rd StChicago, IL 60617 · Cook County

Emergency services Birthing friendly

Presence St Marys Hospital

Acute Care Hospitals · Kankakee, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140155

Location500 W Court StKankakee, IL 60901 · Kankakee County

Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140186

Location350 N Wall StKankakee, IL 60901 · Kankakee County

Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL

2/5 CMS rating

OwnershipPhysician

CMS Certification Number140191

Location1 Ingalls DriveHarvey, IL 60426 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 7

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

MRS. JUTUN R ANDREWS-KING APN

Nurse Practitioner (Family)

1777 E COURT ST
KANKAKEE, IL 60901

Kankakee County (815) 928-6223

AUNT MARTHA'S YOUTH SERVICE CENTER INC

Community/Behavioral Health

1777 E COURT ST
KANKAKEE, IL 60901

Kankakee County (815) 937-0100

AUNT MARTHA'S YOUTH SERVICE CENTER, INC

Clinic/Center (Rehabilitation, Substance Use Disorder)

1777 E COURT ST, LOWER LEVEL
KANKAKEE, IL 60901

Kankakee County (877) 692-8686

AUNT MARTHA'S YOUTH SERVICE CENTER, INC.

Clinic/Center (Mental Health (Including Community Mental Health Center))

1777 E COURT ST, LOWER LEVEL
KANKAKEE, IL 60901

Kankakee County (877) 692-8686

AUNT MARTHA'S YOUTH SERVICE CENTER INC

Community/Behavioral Health

1777 E COURT ST
KANKAKEE, IL 60901

Kankakee County (815) 937-0100

AUNT MARTHA'S HEALTH AND WELLNESS, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

1777 E COURT ST
KANKAKEE, IL 60901

Kankakee County (708) 747-7168

AUNT MARTHA'S YOUTH SERVICE CENTER

Clinic/Center (Rehabilitation, Substance Use Disorder)

1777 E COURT ST, LOWER LEVEL
KANKAKEE, IL 60901

Kankakee County (815) 937-5413

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 Glory Ikerodah's NPI number?

The NPI number for Glory Ikerodah is 1932675006. It was assigned to this individual provider in the NPPES registry on October 16, 2018.

Where is Glory Ikerodah located?

Glory Ikerodah practices at 1777 E Court St, Kankakee, IL 60901. The listed phone number is (773) 676-4076.

What is Glory Ikerodah's specialty?

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

Is Glory Ikerodah enrolled in Medicare?

Yes. Glory Ikerodah 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.

Which organizations bill Medicare for Glory Ikerodah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glory Ikerodah reassigns Medicare benefits to 3 organizations: Chicago Medical Group, Inc. (Orland Park, IL), Sas Surgical Ltd. (Harvey, IL) and Midwest Home Physicians Inc (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glory Ikerodah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glory Ikerodah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Anthem Blue Cross and Blue Shield list Glory Ikerodah 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 Glory Ikerodah affiliated with any hospitals?

According to CMS data, Glory Ikerodah is affiliated with Advocate Trinity Hospital, Presence St Marys Hospital, Riverside Medical Center and Ingalls Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Glory Ikerodah was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.