Active NPI
Carlyn Newell
- Gerontology Clinical Nurse Specialist
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- 209025274
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041388238 | IL | MD | Gerontology Clinical Nurse Specialist |
| 209025274 | IL | MD | Gerontology Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| The Methodist Hospitals, Inc. | Current | 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
- 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.
-
- Neurology Physician
- Gary, IN
- NPI 1720290588
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Urgent Care Clinic/Center
- Frankfort, IL
- NPI 1962024612
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Surgery Physician
- Gary, IN
- NPI 1609104033
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.