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EDUARDO J CISNEROS
NPI 1861384513
Nurse Practitioner - Psychiatric/Mental Health in Northbrook, IL

Active since July 17, 2025PECOS EnrolledAccepts Medicare Assignment
5 REVERE DR STE 200, NORTHBROOK, IL 60062(312) 600-3991(630) 473-2232 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eduardo J Cisneros NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDUARDO J CISNEROS (NPI 1861384513) is an individual psychiatric/mental health provider in Northbrook, Illinois, licensed in Illinois (209034192) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861384513
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameEDUARDO J CISNEROS
Location Address5 REVERE DR STE 200Northbrook, IL 60062-8000
Mailing Address4824 N Tripp AveChicago, IL 60630-2721 · (312) 320-1971
Phone(312) 600-3991
Fax(630) 473-2232
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 17, 2025
Last NPPES UpdateDecember 31, 2025
NPPES CertifiedDecember 31, 2025
✔ NPI 1861384513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209034192
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 041524344 (IL)
5 REVERE DR STE 200, Northbrook, IL 60062
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eduardo J Cisneros is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911487483
PECOS Enrollment IDI20260213002485
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH LIEBLING PSY.D. PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5 REVERE DR STE 200
NORTHBROOK, IL 60062
Cook County (847) 810-8440
JENNIFER MORALES PSYD
Psychologist (Clinical)
5 REVERE DR STE 200
NORTHBROOK, IL 60062
Cook County (847) 220-4602
DR. SILVIA FRANCESCA BOZZANO BECK PHD
Psychologist (Clinical)
5 REVERE DR STE 200
NORTHBROOK, IL 60062
Cook County (847) 496-0040
THE KNOT CONSULTING
Clinic/Center (Mental Health (Including Community Mental Health Center))
5 REVERE DR STE 200
NORTHBROOK, IL 60062
Cook County (630) 258-8059
DEBORAH A LIEBLING PSY.D.
Psychologist (Clinical)
5 REVERE DR STE 200
NORTHBROOK, IL 60062
Cook County (847) 810-8440
THE RUTH INSTITUTE OF INTEGRATIVE CARE LLC
Psychiatry & Neurology (Psychiatry)
5 REVERE DR STE 200
NORTHBROOK, IL 60062
Cook County (917) 475-6181
TEHO THERAPY INC
Social Worker (Clinical)
5 REVERE DR STE 200
NORTHBROOK, IL 60062
Cook County (630) 291-3206
DR. LORA VAN ARSDELL PSYD LCSW
Psychologist
5 REVERE DR STE 200
NORTHBROOK, IL 60062
Cook County (630) 258-8059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eduardo Cisneros's NPI number?

The NPI number for Eduardo Cisneros is 1861384513. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Eduardo Cisneros located?

Eduardo Cisneros practices at 5 Revere Dr Ste 200, Northbrook, IL 60062. The listed phone number is (312) 600-3991.

What is Eduardo Cisneros's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Eduardo Cisneros enrolled in Medicare?

Yes. Eduardo Cisneros is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eduardo Cisneros was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.