Active NPI
Martina Jacobsen Krone, WHNP-BC
- Women's Health Nurse Practitioner
- Des Plaines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 209028607
- Practice address
- 1 N Broadway St
Des Plaines, IL 60016-2335 - Phone
- (847) 298-3150
- NPI assigned
- Sep 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0000265512 | TN | |
| Women's Health Nurse Practitioner | 363LW0102X | 209028607 | IL | Primary |
Addresses
Primary practice location
1 N Broadway St
Des Plaines, IL 60016-2335
Mailing address
631 Lake Ave
Wilmette, IL 60091-1721
Phone (224) 456-0868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 N Broadway St
The Genesis Center
Des Plaines, IL 60016-2335
Phone (847) 298-3150
1555 W Howard St
Rogers Park Health Center
Chicago, IL 60626-1707
Phone (773) 764-7146
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000265512 | TN | MD | Registered Nurse |
| 209028607 | IL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients |
Locations
600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000
1 N Broadway St
Des Plaines, IL 60016
Phone (847) 298-3150
Interoperability endpoints
- mkrone24503@direct.achn.net
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1609654284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 LAKE AVE",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911721",
"telephone_number": "224-456-0868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N BROADWAY ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162335",
"telephone_number": "847-298-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONE",
"first_name": "MARTINA",
"middle_name": "JACOBSEN",
"credential": "WHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-15",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "0000265512",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IL",
"license": "209028607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.