Mark Norbert Preciado Guiab, FPA, PMHNP-BC, FNP-C
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Crete, IL
NPI 1346770914 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1346770914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 277001928 (IL)
- Practice address
- 1328 Main St Unit B
Crete, IL 60417-2131 - Phone
- (708) 277-6924
- Fax
- (708) 277-6924
- NPI assigned
- Jun 15, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Serene Psychiatry PLLC
Practice addresses (Care Compare)
1328 Main St
Crete, IL 60417-2131
Phone (708) 277-6924
3490 Harold Cir
Hoffman Estates, IL 60192-2000
Phone (847) 450-0222
Merit-based Incentive Payment System (MIPS)
- Final score
- 58.33 of 100
- Quality
- 41.25
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 69.86
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171130000210 | IL | Practitioner - Nurse Practitioner | 7113284142 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277001928 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archos Multispecialty Services, Inc | Psychiatric/Mental Health | Current |
Accepting new patients |
| Community Visiting Physicians LLC | Current |
Accepting new patients | |
| Livindi Medical Group Illinois PLLC | Current |
Accepting new patients | |
| Housecall Health Group Inc | Current |
Accepting new patients | |
| Livindi Medical Group Illinois PLLC | Current |
Accepting new patients | |
| Archos Wound Specialists Inc | Current |
Accepting new patients | |
| Physicians House Calls | Psychiatric/Mental Health | Current |
Accepting new patients |
| Serene Psychiatry PLLC | Current |
Accepting new patients |
Locations
1328 Main St
Crete, IL 60417
Phone (508) 416-6030
1328 Main St
Unit B
Crete, IL 60417
Phone (708) 277-6924
3 Golf Ctr
Hoffman Estates, IL 60169
2300 N Barrington Rd
Ste 400
Hoffman Estates, IL 60169
Phone (815) 947-4463
1580 N Northwest Hwy
Ste 121A
Park Ridge, IL 60068
Phone (630) 225-1428
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 277001928 | IL | Yes |
| Nurse Practitioner | 363L00000X | 209016243 | IL |
Addresses
Primary practice location
1328 Main St Unit B
Crete, IL 60417-2131
Mailing address
1328 Main St Unit B
Crete, IL 60417-2131
Phone (708) 277-6924
Other providers in Crete, IL
- Staci Everett
- Tasha Marie Fleming
- Franciscan Communities, Inc.
- Amber C Gardner
- Barbara Gerk
- Wanda D Guy
- Lakeisha Haley
- Kiayatta D Hampton
- Shanandiss Hampton
- Healthy Heart Nurse Inc
All providers in Crete, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.