Individual provider Active NPI

Michalyn N Parker

  • Psychiatric/Mental Health Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1437944675
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209032425 Issued in IL
Practice address
313 Park Dr
Joliet, IL 60436-2044
Phone
(815) 693-2429
NPI assigned
Apr 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209032425 IL Primary
Registered Nurse 163W00000X 041500251 IL

Addresses

Primary practice location

313 Park Dr
Joliet, IL 60436-2044

Mailing address

313 Park Dr
Joliet, IL 60436-2044
Phone (815) 693-2429

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
I20250924001538 IL Practitioner - Nurse Practitioner 6507361284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matrix Mental Health LTDGroup PAC ID 6204378714, 10 clinicians
Tabs Behavioral Health IncGroup PAC ID 7517344633, 9 clinicians

Practice addresses (Care Compare)

1225 Richards St
Joliet, IL 60433-2745
Phone (312) 554-5431

4050 Healthway Dr
Suite 140
Aurora, IL 60504-8184
Phone (815) 409-5117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041500251ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Dec 31, 2025 Accepting new patients
Tabs Behavioral Health Inc Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Matrix Mental Health LTD CurrentSince Sep 1, 2025 Accepting new patients

Locations

4050 Healthway Dr
Ste 140
Aurora, IL 60504
Phone (630) 318-3355

1225 Richards St
Joliet, IL 60433
Phone (312) 554-5431

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

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": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1437944675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PARK DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604362044",
            "telephone_number": "815-693-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PARK DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604362044",
            "telephone_number": "815-693-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MICHALYN",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209032425",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041500251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.