TANISHA ANTONIO – Psychiatric/Mental Health Nurse Practitioner, NPI 1528643228

TANISHA ANTONIO is a healthcare provider. based in Glenview, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209022995 (IL). The NPI Number for TANISHA ANTONIO is 1528643228

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
TANISHA ANTONIO
NPI
1528643228
Phone
(773) 562-2182
Address
195 WAUKEGAN RD UNIT 371
Enumeration Date
14 March 2021
Last Update Date
14 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472493900
Graduation Year
2020 (6 years ago)
PAC ID
9537568498
Group Practice PAC ID
7315209988
Professional Enrollment ID
I20210525002902
Address ID
IL600854980WA2615XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for TANISHA ANTONIO

  • 195 WAUKEGAN RD UNIT 371

    GLENVIEW, IL 600255186

    Phone: (773) 562-2182

    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)

CMS reports 27 Open Payments records for all available years, with a total value of $819.

Total Amount is formed as General ($819) + Research ($0) + Ownership ($0) = $819.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($494).

Total Amount

$819

General + Research + Ownership

Payments

27

Total payment records

General Amount

$819

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-05-25

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
I20210525002902INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes45392$0
90792Psychiatric diagnostic evaluation with medical services4039$0
99238Hospital discharge day management, 30 minutes or less3937$0
View full utilization report →

Insurance plans in this area (ZIP 60025)

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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: 7315209988View full group profile
NameSpecialtyState
-IL
P S Y C H I A T R YIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is TANISHA ANTONIO's NPI number?
TANISHA ANTONIO's NPI is 1528643228 — the number used across U.S. healthcare to identify this provider.
Is there an active status for TANISHA ANTONIO?
For scheduling context, TANISHA ANTONIO is shown as active in the registry.
How would a patient describe TANISHA ANTONIO's focus?
For TANISHA ANTONIO, the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is TANISHA ANTONIO located near Glenview?
TANISHA ANTONIO currently maps to Glenview, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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