Individual provider Active NPI

Christina Malek

  • Family Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1285367656
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209025427 Issued in IL
Practice address
1541 Riverboat Center Dr
Joliet, IL 60431-9341
Phone
(815) 409-4930
Fax
(815) 741-3263
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209025427 IL Primary

Addresses

Primary practice location

1541 Riverboat Center Dr
Joliet, IL 60431-9341

Mailing address

1541 Riverboat Center Dr
Joliet, IL 60431-9341
Phone (154) 094-9308

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
I20220909002127 IL Practitioner - Nurse Practitioner 3971988098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16310 S Lincoln Hwy
Plainfield, IL 60586

Merit-based Incentive Payment System (MIPS)

Final score
80.62 of 100Reported as group
Quality
64.25
Promoting interoperability
95
Improvement activities
40
Cost
41.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209025427ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD @ Home Illinois, SC CurrentSince Oct 22, 2023 Accepting new patients
Absolute Integrated Health, S.C. CurrentSince Apr 21, 2024 Accepting new patients

Locations

2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223

16310 S Lincoln Hwy
Ste 124
Plainfield, IL 60586
Phone (815) 782-8440

16310 S Lincoln Hwy
Ste 128
Plainfield, IL 60586
Phone (815) 782-8440

Interoperability endpoints

  • Direct secure messaging: christinamalek@uropart.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1285367656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 RIVERBOAT CENTER DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319341",
            "telephone_number": "154-094-9308",
            "fax_number": "815-741-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 RIVERBOAT CENTER DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319341",
            "telephone_number": "815-409-4930",
            "fax_number": "815-741-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEK",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.