Active NPI
Mary Ludvigsen, N.P.
- Family Nurse Practitioner
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.003905
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.003905 | IL | MD | Family Nurse Practitioner |
| 71013806A | IN | MD | Family Nurse Practitioner |
| 4704397286 | MI | MD | Family Nurse Practitioner |
| F351485 | NY | MD | Family Nurse Practitioner |
| 0033192 | OH | MD | Family Nurse Practitioner |
| 1467233 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Pic Indiana PC | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Baldwin Emergency Physicians, P.C.. | Emergency Medicine | Past | Accepting new patients |
| Prairie Cardiovascular Consultants LTD | Past | Accepting new patients | |
| Foley Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Midwest Emergency Department Specialists LTD | Emergency Medicine | Past | Accepting new patients |
| Pic Wisconsin SC | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
IL, PA
-
dba Hometown Urgent Care
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
MI
-
- Family Medicine Physician
- Mobile, AL
- NPI 1326294414
-
- Family Medicine Physician
- Foley, AL
- NPI 1508106592
-
dba WellNow Clinical Laboratory
- Clinical Medical Laboratory
- Kalamazoo, MI
- NPI 1891469631
-
dba WellNow Clinical Laboratory
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
-
- Family Medicine Physician
- Springfield, IL
- NPI 1750532362
Emergency Medicine
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1245263367
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1982714218
-
- Emergency Medicine Physician
- Fairhope, AL
- NPI 1154378271
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.