CHIBUZO LASISI – Psychiatric/Mental Health Nurse Practitioner, NPI 1013661859
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for CHIBUZO LASISI
1600 Torrence Ave
Calumet City, IL 604095430
Phone: (708) 730-1300
Type: Location
19550 Governors Hwy
Flossmoor, IL 604222125
Phone: (708) 799-8400
Type: Location
455 E MAIN ST
EAST DUNDEE, IL 601181529
Phone:
Type: Mailing
4749 LINCOLN MALL DR STE 202H
MATTESON, IL 604433826
Phone:
Type: Mailing
305 N VINE ST UNIT 100A
NEW LENOX, IL 604511652
Phone: (815) 435-4055
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220806000666 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 47 | 46 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 33 | 30 | $0 |
Insurance plans in this area (ZIP 60409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Emergency Medicine | IL | |
| Emergency Medicine | NY | |
| Nurse Practitioner | IL | |
| - | IL | |
| Emergency Medicine, Family Practice | IL | |
| Emergency Medicine | NY | |
| Emergency Medicine | MI | |
| - | IL | |
| Emergency Medicine | IL |
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