Individual provider Active NPI

Payton Gentges

  • Physician Assistant
  • Crystal Lake, IL
National Provider Identifier
1184445447
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.010934 Issued in IL
Practice address
525 E Congress Pkwy
Crystal Lake, IL 60014-6245
Phone
(847) 381-8899
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.010934 IL Primary

Addresses

Primary practice location

525 E Congress Pkwy
Crystal Lake, IL 60014-6245

Mailing address

525 E Congress Pkwy Ste 200
Crystal Lake, IL 60014-6271
Phone (847) 381-8899

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pgentges@directaddress.net
FHIR URL https://select.nextech-api.com/api

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250212003365 IL Practitioner - Physician Assistant 7618407164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derick Dermatology PLLCGroup PAC ID 1557366796, 65 clinicians

Practice addresses (Care Compare)

1531 S Grove Ave
Unit 101
Barrington, IL 60010-5250
Phone (847) 381-8899

230 Commons Dr
Geneva, IL 60134-2522
Phone (847) 381-8899

353 Bank Dr
Suite 400
McHenry, IL 60050-0506
Phone (847) 381-8899

525 E Congress Pkwy
Suite 200
Crystal Lake, IL 60014-6271
Phone (847) 381-8899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.010934ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Derick Dermatology, PLLC CurrentSince Jan 27, 2025 Accepting new patients
Derick Dermatology, PLLC CurrentSince Jan 27, 2025 Accepting new patients
Derick Dermatology, PLLC Past Accepting new patients

Locations

85 W Algonquin Rd
Ste 220
Arlington Heights, IL 60005
Phone (866) 337-4251

1531 S Grove Ave
Unit 101
Barrington, IL 60010

820 W Bartlett Rd
Bartlett, IL 60103

329 Remington Blvd
Ste 225
Bolingbrook, IL 60440
Phone (630) 633-1000

750 W Lake Cook Rd
Ste 270
Buffalo Grove, IL 60089

805 Village Center Dr
Burr Ridge, IL 60527

8501 W Higgins Rd
Ste 100
Chicago, IL 60631

525 E Congress Pkwy
Ste 200
Crystal Lake, IL 60014

1600 N Randall Rd
Ste 400
Elgin, IL 60123

230 Commons Dr
Geneva, IL 60134

950 Technology Way
Ste 150
Libertyville, IL 60048
Phone (847) 926-0106

1025 Red Oak Ln
Ste 250
Lindenhurst, IL 60046

353 Bank Dr
Ste 400
McHenry, IL 60050

263 Shuman Blvd
Ste 125
Naperville, IL 60563

1900 Spring Rd
Ste 210
Oak Brook, IL 60523

1147 South Blvd
Oak Park, IL 60302

14225 S 95th Ave
Ste 418
Orland Park, IL 60462

12736 S Route 59
Unit 102
Plainfield, IL 60585

Interoperability endpoints

  • Direct secure messaging: pgentges@directaddress.net

Organizations & group practices 4

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": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1184445447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E CONGRESS PKWY STE 200",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146271",
            "telephone_number": "847-381-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E CONGRESS PKWY",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146245",
            "telephone_number": "847-381-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTGES",
        "first_name": "PAYTON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.010934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgentges@directaddress.net",
            "affiliation": "N",
            "address_1": "525 E Congress Pkwy",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600146245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://select.nextech-api.com/api",
            "affiliation": "N",
            "address_1": "525 E Congress Pkwy",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600146245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.