Active NPI
John J Karl, FNP-C
- Nurse Practitioner
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209019289
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209.019289 | Other | IL | ADVANCE PRACTICE REGISTERED NURSE FNP-C |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkarl58345@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041-258664 | IL | MD | Registered Nurse First Assistant |
| 041258664 | IL | MD | Nurse Practitioner |
| 209019289 | IL | MD | Nurse Practitioner |
| 28163347A | IN | MD | Nurse Practitioner |
| 71009040A | IN | MD | Nurse Practitioner |
| 209.019289 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xavier Surgical Care,LLC | Current | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Current | 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Surgery Physician
- Olympia Fields, IL
- NPI 1801447883
-
- Urgent Care Clinic/Center
- Frankfort, IL
- NPI 1962024612
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
-
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.