Individual provider Active NPI

Karen Fields, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • South Holland, IL
National Provider Identifier
1326476433
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277000523 Issued in IL
Practice address
16456 Dobson Ave
South Holland, IL 60473-2511
Phone
(773) 241-9300
Fax
(219) 513-9446
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277000523 IL
Family Nurse Practitioner 363LF0000X 28196163A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277000523 IL Primary

Addresses

Primary practice location

16456 Dobson Ave
South Holland, IL 60473-2511

Mailing address

16260 Louis Ave
South Holland, IL 60473-5201
Phone (773) 241-9300

Other practice location 1

9250 Columbia Ave
Munster, IN 46321-3538
Phone (219) 513-9443

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kfields205220@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20140311001677 IL Practitioner - Nurse Practitioner 9133359292 Reassigns benefits to 2 organizations
I20170411001820 IN Practitioner - Nurse Practitioner 9133359292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3701 N Ravenswood Ave
Suite 247
Chicago, IL 60613-3553
Phone (773) 241-9300

9250 Columbia Ave
Suite 1C
Munster, IN 46321-3530
Phone (219) 513-9443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28196163AINMDFamily Nurse Practitioner
277000523ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Jul 14, 2014 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 14, 2014 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

2649 E 75th St
Chicago, IL 60649
Phone (773) 356-9300

2320 E 93rd St
Chicago, IL 60617
Phone (773) 967-2000

201 W 69th St
Chicago, IL 60621
Phone (773) 487-1200

1441 Branding Ave
Ste 310
Downers Grove, IL 60515
Phone (630) 829-1038

Interoperability endpoints

  • Direct secure messaging: kfields205220@direct.myadvocateaurora.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1326476433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 LOUIS AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604735201",
            "telephone_number": "773-241-9300",
            "fax_number": "219-513-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16456 DOBSON AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732511",
            "telephone_number": "773-241-9300",
            "fax_number": "219-513-9446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213538",
            "country_code": "US",
            "telephone_number": "219-513-9443",
            "fax_number": "219-513-9446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "KAREN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000523",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28196163A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277000523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfields205220@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1441 Branding Ave",
            "address_2": "Suite 310",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1441 Branding Ave",
            "address_2": "Suite 310",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

Verify at the official NPI Registry.