Individual provider Active NPI

Patricia Lee Maule, DNP, FNP-BC, AOCNP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1629123468
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209004052 Issued in IL
Practice address
676 N Saint Clair St Ste 850
Chicago, IL 60611-3124
Phone
(312) 695-6180
Fax
(312) 695-6189
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209004052 IL Primary

Addresses

Primary practice location

676 N Saint Clair St Ste 850
Chicago, IL 60611-3124

Mailing address

676 N Saint Clair St Ste 850
Chicago, IL 60611-3124
Phone (312) 695-6180

Other names 1

  • Patricia Lee Jones Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmaule221853@direct.edward.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041004000922 IN Practitioner - Nurse Practitioner 0143298190 Reassigns benefits to 1 organization
I20210128001625 IL Practitioner - Nurse Practitioner 0143298190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4445 W Irving Park Rd
Chicago, IL 60641-2808

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

676 N Saint Clair
Chicago, IL 60611-2927

676 N Saint Clair St
Chicago, IL 60611-2927

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Feb 15, 2021 Accepting new patients
Suniti Medical Corporation CurrentSince Jun 1, 2010 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 9, 2021 Accepting new patients
Suniti Medical Corporation CurrentSince Jun 1, 2010 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 9, 2021 Accepting new patients
Dupage Medical Group LTD CurrentSince Feb 15, 2021 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

Dept 5777
Carol Stream, IL 60122

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

676 N Saint Clair St
Ste 850
Chicago, IL 60611
Phone (312) 695-6180

676 N Saint Clair St
Ste 2140
Chicago, IL 60611
Phone (312) 664-5400

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

17495 La Grange Rd
Tinley Park, IL 60487
Phone (708) 226-7000

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

200 E 89th Ave
Ste 2A
Merrillville, IN 46410
Phone (219) 736-2800

929 Ridge Rd
Ste 5
Munster, IN 46321
Phone (219) 836-2000

Interoperability endpoints

  • Direct secure messaging: patricia.maule@poha.direct-geniusdoc.com
  • Direct secure messaging: pmaule221853@direct.edward.org
  • Direct secure messaging: patricia.maule@pomh.direct-geniusdoc.com

Organizations & group practices 7

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.

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1629123468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 850",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113124",
            "telephone_number": "312-695-6180",
            "fax_number": "312-695-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 850",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113124",
            "telephone_number": "312-695-6180",
            "fax_number": "312-695-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULE",
        "first_name": "PATRICIA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, AOCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209004052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmaule221853@direct.edward.org",
            "affiliation": "N",
            "address_1": "17495 La Grange Rd",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604877581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "JONES",
            "middle_name": "LEE",
            "credential": "RN MS CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.