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ADEBIMPE FAVOUR EREBHOLO NP
NPI 1982214144
Nurse Practitioner in East Peoria, IL

Active since August 03, 2020PECOS Enrolled
3300 N MAIN ST, EAST PEORIA, IL 61611(309) 698-8300(309) 698-8303 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 17, 2020, Aug 3, 2020 (2 updates tracked since 2020).

About Adebimpe Favour Erebholo Np NPPES

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

ADEBIMPE FAVOUR EREBHOLO NP (NPI 1982214144) is an individual nurse practitioner in East Peoria, Illinois, licensed in Illinois (209022026) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982214144
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameADEBIMPE FAVOUR EREBHOLOCredential: NP
Location Address3300 N MAIN STEast Peoria, IL 61611-1562
Mailing Address3300 N Main StEast Peoria, IL 61611-1562 · (309) 698-8300 · Fax (309) 698-8303
Phone(309) 698-8300
Fax(309) 698-8303
Sole ProprietorNo
Enumeration DateAugust 3, 2020
Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1982214144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209022026
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.
Also ListedRegistered Nurse · NephrologyTaxonomy 163WN0300X · License 041434445 (IL)
3300 N MAIN ST, East Peoria, IL 61611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adebimpe Favour Erebholo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Adebimpe Erebholo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health Medical Associates, PLLC
672 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois and Texas enrollments
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Vpa Of Texas PLLC
678 mi
Family Medicine
4545 FULLER DRIVE, SUITE 325
Irving, TX 75038
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
NPI 1679510499 (972) 870-5511

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 61611 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

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

DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3300 N MAIN ST
EAST PEORIA, IL 61611
Tazewell County (309) 698-8300

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 Adebimpe Erebholo's NPI number?

The NPI number for Adebimpe Erebholo is 1982214144. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Adebimpe Erebholo located?

Adebimpe Erebholo practices at 3300 N Main St, East Peoria, IL 61611. The listed phone number is (309) 698-8300.

What is Adebimpe Erebholo's specialty?

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

Is Adebimpe Erebholo enrolled in Medicare?

Yes. Adebimpe Erebholo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adebimpe Erebholo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adebimpe Erebholo reassigns Medicare benefits to 2 organizations: Signify Health Medical Associates, PLLC (Dallas, TX) and Vpa Of Texas PLLC (Irving, 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 Adebimpe Erebholo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adebimpe Erebholo was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.