Individual provider Active NPI

Jorge Martinez Noa, AARNP-C

  • Gerontology Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1295106193
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209.033864 Issued in IL
Practice address
4327 S Archer Ave
Chicago, IL 60632-2844
Phone
(773) 242-2370
Fax
(773) 249-1250
NPI assigned
Oct 18, 2015
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209.033864 IL Primary

Addresses

Primary practice location

4327 S Archer Ave
Chicago, IL 60632-2844

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 242-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240628002980 FL Practitioner - Nurse Practitioner 2860783016
I20251203002929 IL Practitioner - Nurse Practitioner 2860783016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida International Univ, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

4327 S Archer Ave
Chicago, IL 60632-2844
Phone (773) 242-2370

4848 W Irving Park Rd
Chicago, IL 60641-2718
Phone (855) 625-7878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.033864ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC CurrentSince Dec 8, 2025 Accepting new patients
Osh-Il Physicians Group LLC CurrentSince Nov 9, 2025 Accepting new patients
Pulmonary Physicians of South Florida LLC Past Accepting new patients

Locations

4327 S Archer Ave
Chicago, IL 60632
Phone (773) 242-2370

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

Organizations & group practices 3

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": "1445126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1295106193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-242-2370",
            "fax_number": "773-249-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322844",
            "telephone_number": "773-242-2370",
            "fax_number": "773-249-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ NOA",
        "first_name": "JORGE",
        "credential": "AARNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-18",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.033864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.