Individual provider Active NPI

Mary A. Hurley-Schopen, APN/NNP

  • Neonatal Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1417272212
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
277001855 Issued in IL
Practice address
5721 S Maryland Ave
Chicago, IL 60637-1425
Phone
(773) 702-6185
Fax
(773) 702-8720
NPI assigned
Apr 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 277001855 IL Primary

Addresses

Primary practice location

5721 S Maryland Ave
Chicago, IL 60637-1425

Mailing address

5721 S Maryland Ave
Chicago, IL 60637-1425
Phone (773) 702-6185

Other names 1

  • Mary Hurley Former name

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
I20110112000184 IL Practitioner - Nurse Practitioner 8820287535 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bonaventure Medical Foundation, LLC CurrentSince Dec 1, 2022 Accepting new patients
University of Chicago CurrentSince Jul 6, 2010 Accepting new patients
Lurie Children'S Medical Group, LLC Past Accepting new patients

Locations

1653 W Congress Pkwy
#622
Chicago, IL 60612
Phone (312) 942-5068

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

5721 S Maryland Ave
Chicago, IL 60637
Phone (773) 702-5444

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

Interoperability endpoints

  • Direct secure messaging: mhurleyapn20110@uchospital.direct-ci.com

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1417272212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371425",
            "telephone_number": "773-702-6185",
            "fax_number": "773-702-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371425",
            "telephone_number": "773-702-6185",
            "fax_number": "773-702-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY-SCHOPEN",
        "first_name": "MARY",
        "middle_name": "A.",
        "credential": "APN/NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "IL",
            "license": "277001855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HURLEY",
            "credential": "APN/NNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.