Individual provider Active NPI

Caroline Ruth Paull, FNP

  • Nurse Practitioner
  • Plainfield, IL
National Provider Identifier
1790214930
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-015944 Issued in IL
Practice address
16519 S Rte 59 Ste B
Plainfield, IL 60586-2608
Phone
(630) 893-8585
Fax
(815) 416-6720
NPI assigned
Jun 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 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 209-015944 IL Primary
Family Nurse Practitioner 363LF0000X 209.015944 IL

Addresses

Primary practice location

16519 S Rte 59 Ste B
Plainfield, IL 60586-2608

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other practice location 1

2219 W Jefferson St Ste B
Joliet, IL 60435-6511
Phone (877) 692-8686

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cpaull308089@dulyhealthandcare.direct-ci.com 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
I20251113002910 IL Practitioner - Nurse Practitioner 1153812565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

16519 S Route 59 B
Plainfield, IL 60586-2606
Phone (630) 893-8585

704 S Illinois St
Geneseo, IL 61254-1782
Phone (309) 944-6424

Hospital & facility affiliations

  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-015944ILMDNurse Practitioner
209.015944ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Oct 20, 2025 Accepting new patients
Dupage Medical Group LTD CurrentSince Oct 20, 2025 Accepting new patients

Locations

2124 Ogden Ave
Fl 2
Aurora, IL 60504

16519 S Route 59
Plainfield, IL 60586
Phone (630) 646-5020

16519 S Route 59
Ste B
Plainfield, IL 60586
Phone (630) 893-8585

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

Interoperability endpoints

  • Direct secure messaging: cpaull308089@dulyhealthandcare.direct-ci.com
  • Direct secure messaging: caroline.paull.1@13826.direct.athenahealth.com

Organizations & group practices 3

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": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1790214930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16519 S RTE 59 STE B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605862608",
            "telephone_number": "630-893-8585",
            "fax_number": "815-416-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2219 W Jefferson St Ste B",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604356511",
            "country_code": "US",
            "telephone_number": "877-692-8686",
            "fax_number": "877-692-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULL",
        "first_name": "CAROLINE",
        "middle_name": "RUTH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-10",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-015944",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.015944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpaull308089@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16519 S Rte 59 Ste B",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605862608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.