Individual provider Active NPI

Marva Gethers

  • Family Nurse Practitioner
  • Frankfort, IL
National Provider Identifier
1629487640
Registry record updated Nov 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209011930 Issued in IL
Practice address
10181 W Lincoln Hwy
Frankfort, IL 60423-1274
Phone
(815) 464-7212
NPI assigned
Aug 4, 2014
Last updated
Nov 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209011930 IL Primary

Addresses

Primary practice location

10181 W Lincoln Hwy
Frankfort, IL 60423-1274

Mailing address

29883 Marsh Hawk Way
Beecher, IL 60401-3733
Phone (708) 769-2996

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421000056 IL Practitioner - Nurse Practitioner 3577881788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frankfort Medical Clinic IncGroup PAC ID 2163470766, 3 clinicians

Practice addresses (Care Compare)

10181 W Lincoln Hwy
Frankfort, IL 60423-1274
Phone (815) 464-7212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Hospice and Palliative Care, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Frankfort Medical Clinic Inc CurrentSince Oct 1, 2014 Accepting new patients

Locations

10181 W Lincoln Hwy
Frankfort, IL 60423
Phone (630) 444-7003

3030 Chicago Rd
Steger, IL 60475
Phone (708) 300-6692

510 Oakmont Ln
Westmont, IL 60559
Phone (630) 601-1280

Interoperability endpoints

  • Direct secure messaging: mgethers406626@direct.myadvocateaurora.org

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, 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": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417132800000",
    "number": "1629487640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29883 MARSH HAWK WAY",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013733",
            "telephone_number": "708-769-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10181 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231274",
            "telephone_number": "815-464-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETHERS",
        "first_name": "MARVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.