Active NPI
Stefanie Nicole Martlink, NP
- Family Nurse Practitioner
- Aurora, IL
National Provider Identifier
1649575697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209008199
- Practice address
- 2900 Kirk Rd
Aurora, IL 60502-6015 - Phone
- (630) 933-2550
- Fax
- (630) 933-2558
- NPI assigned
- Jan 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209008199 | IL | Primary |
Addresses
Primary practice location
2900 Kirk Rd
Aurora, IL 60502-6015
Mailing address
2900 Kirk Rd
Aurora, IL 60502-6015
Phone (630) 933-2550
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL5966 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| IL7268004 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| IL5966007 | Other | IL | MEDICARE PTAN (GROUP) |
Other names 1
- Stefanie Nicole Kocourek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Aurora, IL
- NPI 1356635577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1649575697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 KIRK RD",
"city": "AURORA",
"state": "IL",
"postal_code": "605026015",
"telephone_number": "630-933-2550",
"fax_number": "630-933-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 KIRK RD",
"city": "AURORA",
"state": "IL",
"postal_code": "605026015",
"telephone_number": "630-933-2550",
"fax_number": "630-933-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTLINK",
"first_name": "STEFANIE",
"middle_name": "NICOLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-24",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209008199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "IL5966",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "IL7268004",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (GROUP)",
"identifier": "IL5966007",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEFANIE",
"last_name": "KOCOUREK",
"middle_name": "NICOLE",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.