Individual provider Active NPI

Maki K Cronin, APRN, CNP

  • Nurse Practitioner
  • Orland Park, IL
National Provider Identifier
1558899377
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209024652 Issued in IL
Practice address
15300 West Ave Ste 210
Orland Park, IL 60462-4686
Phone
(708) 226-2870
Fax
(708) 226-2390
NPI assigned
May 24, 2017
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209024652 IL Primary
Nurse Practitioner 363L00000X 2017005142 MO
Nurse Practitioner 363L00000X 0024180681 VA
Acute Care Nurse Practitioner 363LA2100X 2017005142 MO
Acute Care Nurse Practitioner 363LA2100X 0024180681 VA
Critical Care Medicine Nurse Practitioner 363LC0200X 108118 WV

Addresses

Primary practice location

15300 West Ave Ste 210
Orland Park, IL 60462-4686

Mailing address

15300 West Ave Ste 210
Orland Park, IL 60462-4686
Phone (708) 226-2870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, VA, NE, CA, IL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20170724002873 MO Practitioner - Nurse Practitioner 0547530594 Reassigns benefits to 5 organizations
I20210309000384 VA Practitioner - Nurse Practitioner 0547530594 Reassigns benefits to 2 organizations
I20210729000176 NE Practitioner - Nurse Practitioner 0547530594 Reassigns benefits to 1 organization
I20221205000702 CA Practitioner - Nurse Practitioner 0547530594 Reassigns benefits to 3 organizations
I20240515003665 IL Practitioner - Nurse Practitioner 0547530594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Adult Critical Care LLCGroup PAC ID 3779512041, 59 clinicians

Practice addresses (Care Compare)

12251 S 80TH Ave
Palos Heights, IL 60463-1290

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

901 E 5TH St
Washington, MO 63090-3127
Phone (314) 251-6486

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017005142MOMDAcute Care Nurse Practitioner
0024180681VAMDAcute Care Nurse Practitioner
108118WVMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC CurrentSince Jun 1, 2022 Accepting new patients
Cole Physician Services LLC Nurse Practitioner CurrentSince Dec 11, 2020 Accepting new patients
University of California San Francisco CurrentSince Nov 15, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 15, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2024 Accepting new patients
Unmc Physicians CurrentSince Jul 16, 2021 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Nov 15, 2022 Accepting new patients
University Anesthesia Medical Group CurrentSince Nov 15, 2022 Accepting new patients
Lake Spring Physician Services, LLC Nurse Practitioner CurrentSince Nov 6, 2021 Accepting new patients
University of California San Francisco CurrentSince Nov 15, 2022 Accepting new patients
Mercy Clinic Adult Critical Care, LLC CurrentSince Oct 18, 2021 Accepting new patients
Cogent Healthcare of Missouri, Inc CurrentSince Jun 1, 2022 Accepting new patients
University of California San Francisco Current Accepting new patients
SLH Physicians LLC CurrentSince Mar 17, 2019 Accepting new patients
Ingleside Physician Services, LLC Nurse Practitioner CurrentSince Feb 3, 2021 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

15300 West Ave
Ste 210
Orland Park, IL 60462
Phone (708) 226-2870

200 Corporate Blvd
Lafayette, LA 70508

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

1 Arh Ln
Low Moor, VA 24457
Phone (540) 345-2593

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: mcronin266276@direct-ucsfmedicalcenter.org
  • Direct secure messaging: mcronin31764@direct-ehr-ssmhc.com

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 3

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1558899377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 210",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624686",
            "telephone_number": "708-226-2870",
            "fax_number": "708-226-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 210",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624686",
            "telephone_number": "708-226-2870",
            "fax_number": "708-226-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "MAKI",
        "middle_name": "K",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209024652",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017005142",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180681",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2017005142",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024180681",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "WV",
            "license": "108118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.