Active NPI
Martha K Kern, RN
- Family Nurse Practitioner
- Plainfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 041331492
- Practice address
- 21162 W Chastworth LN
Plainfield, IL 60544-7333 - Phone
- (815) 260-4237
- NPI assigned
- Oct 21, 2021
- 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 |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | 041331492 | IL | |
| Family Nurse Practitioner | 363LF0000X | 041331492 | IL | Primary |
Addresses
Primary practice location
21162 W Chastworth LN
Plainfield, IL 60544-7333
Mailing address
21162 W Chastworth LN
Plainfield, IL 60544-7333
Phone (815) 260-4237
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | martha.kern6@gmail.com | Direct |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260115001469 | IL | Practitioner - Nurse Practitioner | 7719463157 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1039 Brook Forest Ave
Shorewood, IL 60404-8849
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041331492 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Healthcare Management LLC | Current | Accepting new patients | |
| E Mediate Cure LLC | Current | Accepting new patients | |
| E Mediate Cure LLC | Current | Accepting new patients |
Locations
1508 Essington Rd
Ste 5
Joliet, IL 60435
Phone (815) 733-5952
1039 Brook Forest Ave
Shorewood, IL 60404
Phone (815) 681-7733
Interoperability endpoints
- martha.kern.1@17829.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Nurse Practitioner
- Shorewood, IL
- NPI 1679961742
-
- Urgent Care Clinic/Center
- Joliet, IL
- NPI 1285482760
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1619630159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21162 W CHASTWORTH LN",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605447333",
"telephone_number": "815-260-4237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21162 W CHASTWORTH LN",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605447333",
"telephone_number": "815-260-4237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "MARTHA",
"middle_name": "K",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "IL",
"license": "041331492",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "041331492",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "martha.kern6@gmail.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "21162 W Chastworth Ln",
"city": "Plainfield",
"state": "IL",
"country_code": "US",
"postal_code": "605447333",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.