Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Ann Villalon, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1447936984

Mary Ann Villalon, PMHNP-BC is a Nurse Practitioner in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Bespoke Psychiatry, a 49-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1203 W Augusta Blvd Ste 1
Chicago, IL 60642-4327
Phone: (773) 248-2255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 250 S Northwest Hwy Ste 110, Park Ridge, IL 60068-4237 — (224) 985-5824

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209028066 (IL)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence 041483639 (IL)

Record details

NPI number1447936984
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bespoke Psychiatry — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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