Crissy Martinez, RN
Individual provider Active NPI Registered Nurse · Machesney PK, IL
NPI 1467869883 · NPPES record last updated Apr 13, 2026
Key facts
- NPI
- 1467869883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 111955930 (WI)
- Practice address
- 5397 Speckled Hawk TRL
Machesney PK, IL 61115-8253 - Phone
- (815) 298-4187
- NPI assigned
- Jul 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111955930 | WI | MD | Registered Nurse |
| 1119559 | WI | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Pediatric Nursing LLC | Current | Accepting new patients | |
| Unity Pediatric Nursing LLC | Home Health | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | 111955930 | WI | Yes |
| Home Health Registered Nurse | 163WH0200X | 1119559 | WI |
Addresses
Primary practice location
5397 Speckled Hawk TRL
Machesney PK, IL 61115-8253
Mailing address
5397 Speckled Hawk TRL
Machesney PK, IL 61115-8253
Phone (815) 298-4187
Other providers in Machesney PK, IL
All providers in Machesney PK, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.