Individual provider Active NPI

Shelia Lavette Martin, DNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1154820413
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.000606 Issued in IL
Practice address
1444 W 74TH St
Chicago, IL 60636-4028
Phone
(773) 699-8573
NPI assigned
Feb 1, 2018
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 041305223 IL
Family Nurse Practitioner 363LF0000X 277.000606 IL Primary

Addresses

Primary practice location

1444 W 74TH St
Chicago, IL 60636-4028

Mailing address

1444 W 74TH St
Chicago, IL 60636-4028
Phone (773) 699-8573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180719000178 IL Practitioner - Nurse Practitioner 1355698556 Reassigns benefits to 4 organizations
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Emergency Physicians Medical Group SCGroup PAC ID 8527493105, 15 clinicians

Practice addresses (Care Compare)

1444 W 74TH St
Chicago, IL 60636-4028
Phone (773) 709-6679

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041305223ILMDFamily Nurse Practitioner
277.000606ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Wholistic Alliance Family CurrentSince Jun 9, 2026 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Great Lakes Emergency Physicians Medical Group SC CurrentSince Dec 2, 2019 Accepting new patients
Advanced Practice Network, LLC Family Medicine CurrentSince Nov 9, 2022 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Oct 27, 2020 Accepting new patients
Midwest Emergency Associates LTD Past Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

Interoperability endpoints

  • Direct secure messaging: sheilamartin@jph.medalliesdirect.net
  • Direct secure messaging: smart374@yourcarecommunity.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1154820413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 W 74TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606364028",
            "telephone_number": "773-699-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 W 74TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606364028",
            "telephone_number": "773-699-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHELIA",
        "middle_name": "LAVETTE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041305223",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.000606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.