GENTI MANCO – Family Nurse Practitioner, NPI 1760936090

GENTI MANCO is a healthcare provider. based in Melrose park, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209014660 (IL). The NPI Number for GENTI MANCO is 1760936090

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
GENTI MANCO
NPI
1760936090
Phone
(708) 450-4551
Address
675 W NORTH AVE STE 402
Enumeration Date
3 August 2016
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8778839430
Graduation Year
2016 (10 years ago)
PAC ID
0446548937
Group Practice PAC ID
5193156115
Professional Enrollment ID
I20161017001633
Address ID
IL613699596TO101XXGHIG400

Contacts

Secure Messaging
credentialing@nephdocs.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness95
Years active:9State licenses:1Other names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for GENTI MANCO

  • 675 W NORTH AVE STE 402

    MELROSE PARK, IL 601601624

    Phone: (708) 450-4551

    Type: Location

  • 120 W 22ND ST STE 200

    OAK BROOK, IL 605231563

    Phone: (630) 573-5000

    Type: Mailing

  • Erie Court, Ridgeland, Oak Park, Cook County, Illinois, 60302, United States

    OAK PARK, IL 603022566

    Phone: (708) 524-4576

    Fax: (708) 524-0573

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $422.

Total Amount is formed as General ($422) + Research ($0) + Ownership ($0) = $422.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($166).

Total Amount

$422

General + Research + Ownership

Payments

14

Total payment records

General Amount

$422

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

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: 2016-10-17

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
I20161017001633INurse 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
90970Dialysis services, per day, less than full month service (20 years or older)28017$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)2220$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)1818$0
View full utilization report →

Insurance plans in this area (ZIP 60160)

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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: 5193156115View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerMO
Nurse PractitionerOR
Nurse PractitionerMI
Nurse PractitionerIL
Nurse PractitionerIN
Internal MedicineWA
Internal MedicineIA
Nurse PractitionerCA
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does GENTI MANCO have a public NPI I can cite?
Public records show GENTI MANCO under NPI 1760936090.
Is GENTI MANCO currently accepting referrals based on NPI status?
Registry metadata lists GENTI MANCO as active.
Which specialty label fits GENTI MANCO?
NPPES ties GENTI MANCO to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is GENTI MANCO tied to Melrose Park, Illinois?
If you are local to Melrose Park, Illinois, GENTI MANCO may be relevant to your search.
Can I export GENTI MANCO's record?
You can download the official NPPES record; we summarize key fields for readability.

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