BASHIR ALLI (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1376361287

BASHIR ALLI (PMHNP-BC) is a healthcare provider. based in St charles, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 041375170 (IL). The NPI Number for BASHIR ALLI (PMHNP-BC) is 1376361287

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
BASHIR ALLI (PMHNP-BC)
NPI
1376361287
Phone
(773) 799-5442
Address
1995 MCTHURSTAN CT APT 213
Enumeration Date
30 September 2024
Last Update Date
17 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6309241160
Graduation Year
2024 (2 years ago)
PAC ID
4587186309
Group Practice PAC ID
1456353929
Professional Enrollment ID
I20250320002297
Address ID
IL601082916BL1XXXXPTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for BASHIR ALLI (PMHNP-BC)

  • 1995 MCTHURSTAN CT APT 213

    ST CHARLES, IL 601744047

    Phone: (773) 799-5442

    Mailing address matches the actual address.

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: 2025-03-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250320002297INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60174)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456353929View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Addiction Medicine, PsychiatryCT
Mental Health CounselorIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for BASHIR ALLI (PMHNP-BC)?
BASHIR ALLI (PMHNP-BC) — NPI 1376361287 — is the standard way to identify this listing.
Is BASHIR ALLI (PMHNP-BC) listed as active for patients and plans?
The listing shows BASHIR ALLI (PMHNP-BC) as active in the NPI system.
What is BASHIR ALLI (PMHNP-BC)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for BASHIR ALLI (PMHNP-BC) here. Clinical services aligned with this taxonomy classification.
Does BASHIR ALLI (PMHNP-BC) list a practice location?
Patients near St Charles, Illinois may find BASHIR ALLI (PMHNP-BC) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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