Individual provider Active NPI

Martha Rose Meyers, APRN WHNP-BC

  • Women's Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1568836948
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
209.024621 Issued in IL
Practice address
737 N Michigan Ave Ste 600
Chicago, IL 60611-6662
Phone
(312) 440-3810
Fax
(312) 440-1572
NPI assigned
Nov 22, 2015
Last updated
Jan 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 209.024621 IL Primary

Addresses

Primary practice location

737 N Michigan Ave Ste 600
Chicago, IL 60611-6662

Mailing address

737 N Michigan Ave Ste 600
Chicago, IL 60611-6662
Phone (312) 440-3810

Other practice location 1

475 W 186th St
Apt 1G
New York, NY 10033-2903
Phone (973) 718-1186

Other names 1

  • Martha Rose Meyers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 22, 2024 through Apr 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.024621ILMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women's Health Care, LTD. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: martha.meyers.1@21117.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1568836948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116662",
            "telephone_number": "312-440-3810",
            "fax_number": "312-440-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116662",
            "telephone_number": "312-440-3810",
            "fax_number": "312-440-1572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 W 186th St",
            "address_2": "Apt 1G",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100332903",
            "country_code": "US",
            "telephone_number": "973-718-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "MARTHA",
        "middle_name": "ROSE",
        "credential": "APRN WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-22",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209.024621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "MEYERS",
            "middle_name": "ROSE",
            "credential": "APRN WHNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.