Individual provider Active NPI

Margaret Kay Stelle-Betman, R.N. APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1710172564
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.008667 Issued in IL
Practice address
6039 W Belmont Ave
Chicago, IL 60634-5116
Phone
(773) 745-1919
NPI assigned
Sep 13, 2007
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.008667 IL Primary
Emergency Registered Nurse 163WE0003X 041-283154 IL

Addresses

Primary practice location

6039 W Belmont Ave
Chicago, IL 60634-5116

Mailing address

1505 Tomlin Dr
Burr Ridge, IL 60527-4882
Phone (630) 908-7445

Other names 1

  • Margaret Kay Stelle Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mstellebetman264370@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ Direct

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
I20110616000576 IL Practitioner - Nurse Practitioner 0749468940 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-4393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041-283154ILMDEmergency Registered Nurse
209.008667ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Jun 5, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 15, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 15, 2020 Accepting new patients
Dr Jeffrey J Betman Podiatric Physician and Surgeon PC PastSince Jul 1, 2017 Accepting new patients
Midway Emergency Physicians, LLC Past Accepting new patients

Locations

391 S Bolingbrook Dr
Bolingbrook, IL 60440
Phone (630) 226-1006

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

29373 Network Pl
Chicago, IL 60673

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

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

335 E Army Trail Rd
Glendale Heights, IL 60139
Phone (630) 389-1681

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 713-2717

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9fd8edc6-b948-4724-a29c-1558edd5eb23/
  • Direct secure messaging: mstellebetman264370@direct.myadvocateaurora.org

Organizations & group practices 8

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1710172564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 TOMLIN DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605274882",
            "telephone_number": "630-908-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345116",
            "telephone_number": "773-745-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLE-BETMAN",
        "first_name": "MARGARET",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "R.N. APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.008667",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IL",
            "license": "041-283154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstellebetman264370@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6039 W Belmont Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606345116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6039 W Belmont Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606345116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "STELLE",
            "middle_name": "KAY",
            "credential": "R.N. APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.