Individual provider Active NPI

John J Karl, FNP-C

  • Nurse Practitioner
  • Olympia Fields, IL
National Provider Identifier
1487701728
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209019289 Issued in IL
Practice address
3700 W 203Rd St Ste 302
Olympia Fields, IL 60461-1182
Phone
(708) 679-2518
Fax
(708) 679-2519
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 041-258664 IL
Registered Nurse First Assistant 163WR0006X 71009040A IN
Nurse Practitioner 363L00000X 28163347A IN
Nurse Practitioner 363L00000X 041258664 IL
Nurse Practitioner 363L00000X 71009040A IN
Family Nurse Practitioner 363LF0000X 209.019289 IL
Nurse Practitioner 363L00000X 209019289 IL Primary

Addresses

Primary practice location

3700 W 203Rd St Ste 302
Olympia Fields, IL 60461-1182

Mailing address

PO Box 1000
Dyer, IN 46311-0800
Phone (219) 864-2107

Other practice location 1

24 Joliet St Ste 302
Dyer, IN 46311-1705
Phone (219) 852-2518

Other identifiers 1

IdentifierTypeStateIssuer
209.019289OtherILADVANCE PRACTICE REGISTERED NURSE FNP-C

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkarl58345@Direct.FranciscanAlliance.org Direct

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
I20190507001177 IL Practitioner - Nurse Practitioner 3678815925 Reassigns benefits to 1 organization
I20190703000819 IN Practitioner - Nurse Practitioner 3678815925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

24 Joliet St
Unit 302
Dyer, IN 46311-1705
Phone (219) 852-2518

3700 W 203Rd St
Suite 202
Olympia Fields, IL 60461-1182
Phone (708) 679-2120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041-258664ILMDRegistered Nurse First Assistant
041258664ILMDNurse Practitioner
209019289ILMDNurse Practitioner
28163347AINMDNurse Practitioner
71009040AINMDNurse Practitioner
209.019289ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xavier Surgical Care,LLC Current Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Apr 15, 2019 Accepting new patients
Franciscan Physician Network CurrentSince Jun 21, 2019 Accepting new patients
Franciscan Physician Network CurrentSince Jun 21, 2019 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Apr 15, 2019 Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

3700 W 203rd St
Ste 302
Olympia Fields, IL 60461
Phone (708) 679-2518

3700 W 203rd St
Ste 202
Olympia Fields, IL 60461
Phone (708) 679-2120

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

24 Joliet St
Unit 302
Dyer, IN 46311
Phone (219) 852-2518

24 Joliet St
Ste 302
Dyer, IN 46311
Phone (219) 852-2518

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1487701728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463110800",
            "telephone_number": "219-864-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 203RD ST STE 302",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611182",
            "telephone_number": "708-679-2518",
            "fax_number": "708-679-2519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Joliet St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "463111705",
            "country_code": "US",
            "telephone_number": "219-852-2518",
            "fax_number": "219-864-2156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARL",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "041-258664",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IN",
            "license": "71009040A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28163347A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041258664",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009040A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019289",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209019289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE REGISTERED NURSE  FNP-C",
            "identifier": "209.019289",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkarl58345@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3700 W 203rd St Ste 302",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.