Individual provider Active NPI

Carlyn Newell

  • Gerontology Clinical Nurse Specialist
  • Olympia Fields, IL
National Provider Identifier
1649998139
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
209025274 Issued in IL
Practice address
3800 W 203Rd St Ste 202
Olympia Fields, IL 60461-1185
Phone
(708) 852-2699
Fax
(708) 679-2223
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X 71016936A IN
Gerontology Clinical Nurse Specialist 364SG0600X 209025274 IL Primary
Gerontology Clinical Nurse Specialist 364SG0600X 041388238 IL
Adult Health Clinical Nurse Specialist 364SA2200X 209025274 IL

Addresses

Primary practice location

3800 W 203Rd St Ste 202
Olympia Fields, IL 60461-1185

Mailing address

35318 Eagle Way
Chicago, IL 60678-1353
Phone (317) 528-4800

Other practice location 1

8865 W 400 N Ste 175
Michigan City, IN 46360-9010
Phone (219) 877-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221227002518 IL Practitioner - Certified Clinical Nurse Specialist (CNS) 4587034095 Reassigns benefits to 1 organization
I20251011000231 IN Practitioner - Certified Clinical Nurse Specialist (CNS) 4587034095 Reassigns benefits to 1 organization
I20260102000097 IN Practitioner - Nurse Practitioner 4587034095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Illinois LLCGroup PAC ID 4183529456, 114 clinicians
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

3800 W 203Rd St
Suite 202
Olympia Fields, IL 60461-1185
Phone (708) 679-2010

8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-4926

8777 Broadway
Merrillville, IN 46410-6693
Phone (219) 738-3854

Hospital & facility affiliations

  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041388238ILMDGerontology Clinical Nurse Specialist
209025274ILMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Illinois, LLC CurrentSince Nov 20, 2022 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Dec 1, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Sep 15, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Sep 15, 2025 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Nov 20, 2022 Accepting new patients
The Methodist Hospitals, Inc. CurrentSince Dec 1, 2025 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

35318 Eagle Way
Chicago, IL 60678

3800 W 203rd St
Olympia Fields, IL 60461
Phone (708) 747-0461

3800 W 203rd St
Ste 202
Olympia Fields, IL 60461
Phone (708) 679-2010

3800 W 203rd St
Ste 204
Olympia Fields, IL 60461
Phone (708) 679-2670

3800 W 203rd St
Ste 201
Olympia Flds, IL 60461

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

3500 Franciscan Way
Ste 400
Michigan City, IN 46360
Phone (219) 878-8200

8865 W 400 N
Ste 175
Michigan City, IN 46360
Phone (219) 877-2225

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: cnewell192496@themethodisthospitals.direct-ci.com

Organizations & group practices 6

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 1

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1649998139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35318 EAGLE WAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781353",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W 203RD ST STE 202",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611185",
            "telephone_number": "708-852-2699",
            "fax_number": "708-679-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8865 W 400 N Ste 175",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463609010",
            "country_code": "US",
            "telephone_number": "219-877-2225",
            "fax_number": "219-877-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "CARLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "IN",
            "license": "71016936A",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "IL",
            "license": "209025274",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "IL",
            "license": "041388238",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": "209025274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.