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ALTHEA BAILEY
NPI 1972475846
Nurse Practitioner - Family in Evanston, IL

Active since September 20, 2025PECOS Enrolled
355 RIDGE AVE, EVANSTON, IL 60202(847) 316-6130 Get Directions Write a Review

NPPES record last updated: September 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Althea Bailey NPPES

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

ALTHEA BAILEY (NPI 1972475846) is an individual family provider in Evanston, Illinois, licensed in Illinois (209032657) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1972475846
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALTHEA BAILEY
Location Address355 RIDGE AVEEvanston, IL 60202-3399
Mailing Address3903 Cleveland StSkokie, IL 60076-2702
Phone(847) 316-6130
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 20, 2025
NPPES CertifiedSeptember 20, 2025
✔ NPI 1972475846 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 · 209032657
355 RIDGE AVE, Evanston, IL 60202
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Althea Bailey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42786626
PECOS Enrollment IDI20260421000968
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

2

Medicare enrollment records show Althea Bailey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Waukegan Clinic Corp
26 mi
Family Medicine
1324 N SHERIDAN RD
Waukegan, IL 60085
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
NPI 1306937289 (847) 360-3000
Signify Health Medical Associates, PLLC
803 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60202 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.

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.

VIRAJA ALLURI MD
Internal Medicine
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-4000
CONSULTANT RADIOLOGISTS OF EVANSTON, S.C.
Radiology (Diagnostic Radiology)
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-6101
JONGGI CHOI
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE, DEPARTMENT OF MEDICINE
EVANSTON, IL 60202
Cook County (847) 316-4000
CELINA CHIODO
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-4000
DUNCAN F MACINTYRE
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (773) 942-3921
SUJIT KUMAR DARNAL
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-4000
ABHINAV MALIK MD
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (773) 302-7187
PRESENCE CHICAGO HOSPITALS NETWORK
General Acute Care Hospital
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-2329

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 Althea Bailey's NPI number?

The NPI number for Althea Bailey is 1972475846. It was assigned to this individual provider in the NPPES registry on September 20, 2025.

Where is Althea Bailey located?

Althea Bailey practices at 355 Ridge Ave, Evanston, IL 60202. The listed phone number is (847) 316-6130.

What is Althea Bailey's specialty?

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

Is Althea Bailey enrolled in Medicare?

Yes. Althea Bailey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Althea Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Althea Bailey reassigns Medicare benefits to 2 organizations: Waukegan Clinic Corp (Waukegan, IL) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Althea Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Althea Bailey accept?

Health plans from Oscar Health list Althea Bailey 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.

When was this NPI record last updated?

The NPPES record for Althea Bailey was last updated on September 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.