Marlin Reyes, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.018096 Issued in IL

Practice address

1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624

Phone

(630) 829-1084

Fax

(630) 829-1080

NPI assigned

Oct 16, 2018

Last updated

Oct 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians

Forever Care Home Visiting Physicians IncGroup PAC ID 1850631912, 14 clinicians

Evocare Wound Solutions PAGroup PAC ID 5597292011, 13 clinicians

Housecalls Done Wright LTDGroup PAC ID 5092148387, 8 clinicians

New Southtown Medical Group S CGroup PAC ID 0547572349, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4021/brand/1/csg/1/fhir/r4
• Direct secure messaging: marlin.reyes.1@34039.direct.athenahealth.com
• Direct secure messaging: marlin.reyes.1@4021.direct.athenahealth.com
• Direct secure messaging: mreyes275722@direct.myadvocateaurora.org

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.

• Advocate Health and Hospitals Corporation

  dba Advocate Medical Group

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  Medicare reassignment Care Compare group NPD
• Forever Care Home Visiting Physicians Inc

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1851865364
  Medicare reassignment Care Compare group NPD
• Housecalls Done Wright LTD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1699317693
  Medicare reassignment Care Compare group NPD
• New Southtown Medical Group S C

  • Family Medicine Physician
  • Darien, IL
  • NPI 1134508997
  Medicare reassignment Care Compare group NPD
• Evocare Wound Solutions PA

  • Geriatric Medicine (Family Medicine) Physician
  • Chicago, IL
  • NPI 1922827872
  Medicare reassignment Care Compare group
• Avaya Therapy, LTD

  • Family Medicine Physician
  • Rosemont, IL
  • NPI 1447808712
  Medicare reassignment NPD
• Home Clinix Illinois LLC

  dba Home Clinix

  • Specialist
  • Mount Prospect, IL
  • NPI 1386415313
  Medicare reassignment NPD
• Home Doctors Medical Practice PLLC

  • Family Medicine Physician
  • Schaumburg, IL
  • NPI 1346822129
  Medicare reassignment NPD
• Midwest Wound Care Incorporated

  • Internal Medicine Physician
  • Bolingbrook, IL
  • NPI 1538976873
  Medicare reassignment NPD
• Home Doctors Midwest PLLC

  • Family Medicine Physician
  • Schaumburg, IL
  • NPI 1881547073
  Medicare reassignment
• Advocate Health & Hospitals Corp.

  dba Bethany Hospital

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1750315545
  NPD
• Advocate Health and Hospitals Corporation

  dba Advocate Children's Hospital

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1164998258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 BRANDING AVE STE 310",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155624",
            "telephone_number": "630-829-1084",
            "fax_number": "630-829-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6307 S Stewart Ave # 209",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606213116",
            "country_code": "US",
            "telephone_number": "630-906-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "MARLIN",
        "credential": "BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1441 Branding Ave Ste 310",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605155624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peggy Reu, APN
• Bernard A Reusz, DDS
• Revealing Connection PLLC
• Reverend Aide Home Care LLC
• Dulce Reyes, RBT
• Nestorio Neil U Reyes
• Kennedy M Reynolds, RBT
• Tyler Daniel Reynolds, D.C.
• Dana Denise Rhea, OD
• Megan Rhodes, PA-C

• Family Nurse Practitioner in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.