Individual provider Active NPI

Marybeth Ann McCarthy, FNP-BC

  • Family Nurse Practitioner
  • Mokena, IL
National Provider Identifier
1619100161
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209008923 Issued in IL
Practice address
11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone
(815) 464-2171
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209008923 IL Primary
Nurse Practitioner 363L00000X 191443 AK
Nurse Practitioner 363L00000X RNP273806 AZ
Family Nurse Practitioner 363LF0000X ARNP9255994 FL
Nurse Practitioner 363L00000X 12709950 UT
Nurse Practitioner 363L00000X 193412 MT
Nurse Practitioner 363L00000X 67338 NM
Nurse Practitioner 363L00000X AP61275432 WA
Nurse Practitioner 363L00000X 95020931 CA
Nurse Practitioner 363L00000X 2024043729 MO
Nurse Practitioner 363L00000X 202203073NP-PP OR
Nurse Practitioner 363L00000X APRN35860 HI
Nurse Practitioner 363L00000X 9337 MN

Addresses

Primary practice location

11200 Lincoln Hwy
Mokena, IL 60448-8208

Mailing address

8645 Woodward Ave
Woodridge, IL 60517-3148
Phone (630) 910-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NM, HI, UT, MN5 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
I20111014000454 IL Practitioner - Nurse Practitioner 9830238989 Reassigns benefits to 2 organizations
I20220915000419 NM Practitioner - Nurse Practitioner 9830238989 Reassigns benefits to 1 organization
I20220915003817 HI Practitioner - Nurse Practitioner 9830238989 Reassigns benefits to 1 organization
I20220916001505 UT Practitioner - Nurse Practitioner 9830238989 Reassigns benefits to 1 organization
I20221013001831 MN Practitioner - Nurse Practitioner 9830238989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic of Hawaii, LLCGroup PAC ID 6507092863, 28 clinicians

Practice addresses (Care Compare)

45 -480 Kaneohe Bay Dr
Kaneohe, HI 96744-2039
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9337MNMDAudiologist
191443AKMDNurse Practitioner
RNP273806AZMDNurse Practitioner
APRN35860HIMDNurse Practitioner
193412MTMDNurse Practitioner
202203073NP-PPORMDNurse Practitioner
12709950UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Utah, LLC Family CurrentSince May 24, 2022 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Sep 16, 2013 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Nurse Practitioner CurrentSince Aug 26, 2023 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince May 24, 2022 Accepting new patients
Minuteclinic Diagnostic of Minnesota, P.a. Family CurrentSince Jul 25, 2022 Accepting new patients
Minuteclinic Diagnostic of New Mexico, LLC Family CurrentSince May 24, 2022 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince May 24, 2022 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Aug 26, 2023 Accepting new patients
The Healthcaring Clinic of Florida, LLC Family Past Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

1150 Baker St
Costa Mesa, CA 92626
Phone (714) 622-7517

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

45-480 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 235-0885

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

3637 N Southport Ave
Chicago, IL 60613
Phone (773) 347-5282

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

8645 Woodward Ave
Woodridge, IL 60517
Phone (630) 910-2250

4241 Johnny Cake Ridge Rd
Eagan, MN 55122
Phone (651) 688-7041

1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000

9640 Menaul Blvd NE
Albuquerque, NM 87112
Phone (505) 294-4167

4340 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 252-0599

1 Cvs Dr
Woonsocket, RI 02895
Phone (401) 770-1669

7777 S Redwood Rd
West Jordan, UT 84084
Phone (801) 255-9077

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1619100161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 WOODWARD AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173148",
            "telephone_number": "630-910-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 LINCOLN HWY",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488208",
            "telephone_number": "815-464-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MARYBETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008923",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "191443",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RNP273806",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9255994",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "12709950",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "193412",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "67338",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61275432",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020931",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2024043729",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202203073NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN35860",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "9337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.