Active NPI
Gerson Santizo, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Westmont, IL
National Provider Identifier
1124827514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209031671
- Practice address
- 1 E Oakhill Dr Ste 100
Westmont, IL 60559-5540 - Phone
- (855) 519-2122
- NPI assigned
- Mar 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209031671 | IL | Primary |
Addresses
Primary practice location
1 E Oakhill Dr Ste 100
Westmont, IL 60559-5540
Mailing address
1 E Oakhill Dr Ste 100
Westmont, IL 60559-5540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 E Oakhill Dr
Suite 100
Westmont, IL 60559-5540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209031671 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lipov Medical SC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1 E Oakhill Dr
Ste 100
Westmont, IL 60559
Phone (630) 654-2515
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1124827514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E OAKHILL DR STE 100",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E OAKHILL DR STE 100",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595540",
"telephone_number": "855-519-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIZO",
"first_name": "GERSON",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209031671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.