Idalia Alavez Pinto, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Waukegan, IL
NPI 1851159628 · NPPES record last updated Mar 7, 2024
Key facts
- NPI
- 1851159628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209029386 (IL)
- Practice address
- 20 S County St
Waukegan, IL 60085-5504 - Phone
- (847) 377-4408
- NPI assigned
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Aldad Medical PC
Practice addresses (Care Compare)
159 N Sangamon St
Suite 200
Chicago, IL 60607-2201
Phone (516) 505-7200
333 W Brown Deer Rd
G 598
Milwaukee, WI 53217-2372
Phone (516) 505-7200
510 Hempstead Tpke
RM 203
West Hempstead, NY 11552-1152
Phone (516) 505-7200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IL, WI, NY
- 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 |
|---|---|---|---|---|
| I20240816001129 | IL | Practitioner - Nurse Practitioner | 4587102991 | Reassigns benefits to 2 organizations |
| I20250806001845 | WI | Practitioner - Nurse Practitioner | 4587102991 | Reassigns benefits to 1 organization |
| I20260515000934 | NY | Practitioner - Nurse Practitioner | 4587102991 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Top Medical Consultants PC | Current |
Accepting new patients | |
| Aldad Medical PC | Current |
Accepting new patients |
Locations
159 N Sangamon St
Ste 200
Chicago, IL 60607
Phone (312) 549-8076
510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209029386 | IL | Yes |
Addresses
Primary practice location
20 S County St
Waukegan, IL 60085-5504
Mailing address
3104 Vickie LN
North Chicago, IL 60064-1533
Phone (847) 331-6079
Other providers in Waukegan, IL
- Sumrana S Ahmed
- Yusrah Ahmed
- Pamela Akem-Mondum
- Alameda Foot Centers
- Laimarie Giselle Alas Dorsey
- Melisa Y Albarran
- De'Andre Alexander
- Paula Ali
- Align Dental Group PC.
- All Star Medivan Inc
All providers in Waukegan, 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 Mar 7, 2024. 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.