Michael Ficaro, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Lake Bluff, IL
NPI 1346903291 · NPPES record last updated Dec 29, 2022
Key facts
- NPI
- 1346903291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209023221 (IL)
- Practice address
- 900 North Shore Dr Ste 120
Lake Bluff, IL 60044-2225 - Phone
- (847) 615-1698
- NPI assigned
- Oct 18, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Rush Medical College of Rush University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chicago Integrative Center for Psychology LLC
Practice addresses (Care Compare)
8707 Skokie Blvd
Suite 210
Skokie, IL 60077-2272
Phone (847) 615-1698
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 |
|---|---|---|---|---|
| I20220525002800 | IL | Practitioner - Nurse Practitioner | 0547648974 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Integrative Center for Psychology LLC | Current |
Accepting new patients |
Locations
900 N Shore Dr
Ste 120
Lake Bluff, IL 60044
Phone (847) 615-1698
8707 Skokie Blvd
Ste 210
Skokie, IL 60077
Phone (847) 615-1698
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209023221 | IL | Yes |
Addresses
Primary practice location
900 North Shore Dr Ste 120
Lake Bluff, IL 60044-2225
Mailing address
900 North Shore Dr Ste 120
Lake Bluff, IL 60044-2225
Other providers in Lake Bluff, IL
- Stephanie Escovar
- Neda Esfahani
- Kari Christopherson Falls
- Genevieve Ann Farrell
- Renee N Fezatte
- Aline M Fiedorowicz
- Fit for Life Rehab and Fitness Clinic, Inc.
- Kayleen Marie Flores
- Forest Bluff Counseling
- Forest Bluff Optometry LLC
All providers in Lake Bluff, 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 Dec 29, 2022. 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.