Individual provider Active NPI

Yvonne Oldaker, CNM/APRN-FPA

  • Nurse Practitioner
  • Flossmoor, IL
National Provider Identifier
1659757888
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277003181 Issued in IL
Practice address
19831 Governors Hwy
Flossmoor, IL 60422-2001
Phone
(312) 592-6800
NPI assigned
Aug 11, 2015
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277003181 IL Primary
Advanced Practice Midwife 367A00000X NU

Addresses

Primary practice location

19831 Governors Hwy
Flossmoor, IL 60422-2001

Mailing address

PO Box 1584
Homewood, IL 60430-0584

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204002073 IL Practitioner - Certified Nurse Midwife (CNM) 3173827573 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
277003181ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Company of Mary Affiliated Services Inc Current Accepting new patients
Planned Parenthood of Illinois CurrentSince Jan 19, 2025 Accepting new patients
Little Company of Mary Affiliated Services Inc CurrentSince Dec 28, 2015 Accepting new patients
Planned Parenthood of Illinois Advanced Practice Midwife PastSince Oct 23, 2022 Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients
Planned Parenthood of Illinois PastSince Jan 19, 2025 Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients
Planned Parenthood of Illinois PastSince Oct 23, 2022 Accepting new patients

Locations

17 N State St
Ste 500
Chicago, IL 60602
Phone (712) 210-2717

2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200

2850 W 95th St
Ste 101
Evergreen Pk, IL 60805
Phone (708) 425-9550

2850 W 95th St
Ste 103
Evergreen Pk, IL 60805
Phone (708) 636-9205

19831 Governors Hwy
Flossmoor, IL 60422
Phone (312) 592-6800

Organizations & group practices 12

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1659757888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1584",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604300584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19831 GOVERNORS HWY",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222001",
            "telephone_number": "312-592-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDAKER",
        "first_name": "YVONNE",
        "credential": "CNM/APRN-FPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277003181",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.