Individual provider Active NPI

Mary Ludvigsen, N.P.

  • Family Nurse Practitioner
  • Oak Park, IL
National Provider Identifier
1194740514
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.003905 Issued in IL
Practice address
6831 North Ave
Oak Park, IL 60302-1023
Phone
(708) 298-0540
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0033192 OH
Family Nurse Practitioner 363LF0000X 209.003905 IL Primary
Family Nurse Practitioner 363LF0000X 4704397286 MI
Family Nurse Practitioner 363LF0000X F351485 NY
Family Nurse Practitioner 363LF0000X 71013806A IN
Family Nurse Practitioner 363LF0000X 1467233 WI

Addresses

Primary practice location

6831 North Ave
Oak Park, IL 60302-1023

Mailing address

75 Remitt Drive
Lockbox 1374
Chicago, IL 60675-1374
Phone (866) 916-5259

Other practice location 1

7375 Oswego Rd Ste 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

Other practice location 2

19165 W Bluemound Rd
Brookfield, WI 53045-6076
Phone (262) 649-2780

Other practice location 3

1175 M 89
Plainwell, MI 49080-1135
Phone (269) 204-3025

Other practice location 4

2880 Stelzer Rd
Columbus, OH 43219-3133
Phone (833) 620-1234

Other practice location 5

1010 S Reed Rd
Kokomo, IN 46901-6248
Phone (765) 252-2176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AL, MI, OH, NY, IN, PA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20050127000266 IL Practitioner - Nurse Practitioner 9436109402 Reassigns benefits to 2 organizations
I20210323001260 AL Practitioner - Nurse Practitioner 9436109402 Reassigns benefits to 2 organizations
I20221206000213 MI Practitioner - Nurse Practitioner 9436109402 Reassigns benefits to 2 organizations
I20230217000187 OH Practitioner - Nurse Practitioner 9436109402 Reassigns benefits to 1 organization
I20230314001753 NY Practitioner - Nurse Practitioner 9436109402 Reassigns benefits to 1 organization
I20230502000163 IN Practitioner - Nurse Practitioner 9436109402 Reassigns benefits to 1 organization
I20241127002992 PA Practitioner - Nurse Practitioner 9436109402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

13448 Cicero Ave
Crestwood, IL 60418-1430
Phone (708) 682-3384

25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

505 W Cleveland Rd
Mishawaka, IN 46545-1003
Phone (574) 235-3135

600 W Adams St
Chicago, IL 60661-3604
Phone (312) 506-0900

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.003905ILMDFamily Nurse Practitioner
71013806AINMDFamily Nurse Practitioner
4704397286MIMDFamily Nurse Practitioner
F351485NYMDFamily Nurse Practitioner
0033192OHMDFamily Nurse Practitioner
1467233WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Dec 28, 2022 Accepting new patients
Pic Indiana PC CurrentSince Apr 12, 2023 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Dec 28, 2022 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Dec 16, 2022 Accepting new patients
Baldwin Emergency Physicians, P.C.. Emergency Medicine Past Accepting new patients
Prairie Cardiovascular Consultants LTD PastSince Sep 20, 2010 Accepting new patients
Foley Emergency Physicians, LLC Emergency Medicine PastSince Jan 26, 2020 Accepting new patients
Midwest Emergency Department Specialists LTD Emergency Medicine Past Accepting new patients
Pic Wisconsin SC PastSince Sep 19, 2019 Accepting new patients
Memorial Expresscare, LLC Emergency Medicine Past Accepting new patients

Locations

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

600 W Adams St
Chicago, IL 60661
Phone (312) 506-0900

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075

6831 North Ave
Oak Park, IL 60302
Phone (708) 298-0540

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (847) 653-0130

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1245 E Ireland Rd
South Bend, IN 46614
Phone (574) 312-7022

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

2880 Stelzer Rd
Columbus, OH 43219
Phone (614) 472-2880

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1194740514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITT DRIVE",
            "address_2": "LOCKBOX 1374",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751374",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021023",
            "telephone_number": "708-298-0540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7375 Oswego Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130903717",
            "country_code": "US",
            "telephone_number": "315-291-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19165 W Bluemound Rd",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530456076",
            "country_code": "US",
            "telephone_number": "262-649-2780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1175 M 89",
            "address_purpose": "LOCATION",
            "city": "Plainwell",
            "state": "MI",
            "postal_code": "490801135",
            "country_code": "US",
            "telephone_number": "269-204-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2880 Stelzer Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432193133",
            "country_code": "US",
            "telephone_number": "833-620-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 S Reed Rd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469016248",
            "country_code": "US",
            "telephone_number": "765-252-2176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDVIGSEN",
        "first_name": "MARY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0033192",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.003905",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704397286",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351485",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013806A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1467233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.