Individual provider Active NPI

Martel S Warden, APRN, FNP-C

  • Family Nurse Practitioner
  • Oak Lawn, IL
National Provider Identifier
1659837367
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209-018990 Issued in IL
Practice address
9555 S 52ND Ave
Oak Lawn, IL 60453-3054
Phone
(708) 634-0950
Fax
(708) 634-0942
NPI assigned
Feb 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 041417848 IL
Family Nurse Practitioner 363LF0000X 209-018990 IL Primary

Addresses

Primary practice location

9555 S 52ND Ave
Oak Lawn, IL 60453-3054

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

17960 Halsted St
Homewood, IL 60430-2014
Phone (708) 922-0911

Other practice location 2

1901 W Galena Blvd
Aurora, IL 60506-4305
Phone (630) 692-5960

Other practice location 3

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 999-3201

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address Mwarden263048@direct.myadvocateaurora.org Direct
Direct Messaging Address mwarden261424@dulyhealthandcare.direct-ci.com

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
I20190930003232 IL Practitioner - Nurse Practitioner 1254661564 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians
Christian Community Health CenterGroup PAC ID 4284533183, 11 clinicians

Practice addresses (Care Compare)

100 W 162ND St
Advocate Med GRP S Holland
South Holland, IL 60473-2003
Phone (708) 730-2200

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

9718 S Halsted St
Chicago, IL 60628-1007
Phone (773) 233-4100

Hospital & facility affiliations

  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041417848ILMDEmergency Registered Nurse
209-018990ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince May 8, 2020 Accepting new patients
Rush-Copley Medical Group, NFP CurrentSince Dec 1, 2021 Accepting new patients
Immunocare Consulting LLC Family Current Accepting new patients
Christian Community Health Center Current Accepting new patients
Christian Community Health Center CurrentSince Oct 25, 2023 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Dec 21, 2020 Accepting new patients
Christian Community Health Center CurrentSince Oct 25, 2023 Accepting new patients
Rush-Copley Medical Group CurrentSince Dec 1, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 8, 2020 Accepting new patients
Community Health Providers PLLC PastSince Aug 20, 2019 Accepting new patients
Ophthalmology Associates 010196 PastSince Jul 7, 2010 Accepting new patients
Isurgery, LLC Past Accepting new patients

Locations

1901 W Galena Blvd
Aurora, IL 60506
Phone (630) 692-5960

2853 Kirk Rd
Aurora, IL 60502
Phone (630) 401-8447

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

364 Torrence Ave
Calumet City, IL 60409
Phone (708) 868-9457

9718 S Halsted St
Chicago, IL 60628
Phone (773) 233-4100

29373 Network Pl
Chicago, IL 60673

980 N Michigan Ave
Ste 1090
Chicago, IL 60611
Phone (773) 322-5983

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

9555 S 52nd Ave
Oak Lawn, IL 60453
Phone (708) 422-5700

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

4390 State Route 71
Oswego, IL 60543
Phone (630) 551-3338

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

Interoperability endpoints

  • Direct secure messaging: mwarden263048@direct.myadvocateaurora.org
  • Direct secure messaging: mwarden261424@dulyhealthandcare.direct-ci.com
  • Direct secure messaging: martel.warden.1@14868.direct.athenahealth.com

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 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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1659837367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 S 52ND AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533054",
            "telephone_number": "708-634-0950",
            "fax_number": "708-634-0942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17960 Halsted St",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604302014",
            "country_code": "US",
            "telephone_number": "708-922-0911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 W Galena Blvd",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605064305",
            "country_code": "US",
            "telephone_number": "630-692-5960",
            "fax_number": "630-692-5961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Glenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604355487",
            "country_code": "US",
            "telephone_number": "815-999-3201",
            "fax_number": "815-741-6293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "MARTEL",
        "middle_name": "S",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IL",
            "license": "041417848",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-018990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9555 S 52nd Ave",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604533054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mwarden263048@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9555 S 52nd Ave",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604533054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwarden261424@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "2100 Glenwood Ave",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604355487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.