Individual provider Active NPI

Pamela Anne Maloney

  • Family Nurse Practitioner
  • Crystal Lake, IL
National Provider Identifier
1871267997
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023596 Issued in IL
Practice address
875 S. Route 31
Crystal Lake, IL 60014-8190
Phone
(779) 220-5500
NPI assigned
Aug 3, 2021
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209023596 IL Primary

Addresses

Primary practice location

875 S. Route 31
Crystal Lake, IL 60014-8190

Mailing address

875 S. Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Other practice location 1

10350 Haligus Rd Ste A
Huntley, IL 60142-9545
Phone (815) 338-6600

Other names 1

  • Pamela Madrigal Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pmaloney325734@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20211201002348 IL Practitioner - Nurse Practitioner 0547650707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Telemedico Physicians Pulmonary SCGroup PAC ID 6608294400, 17 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

3330 Skokie Valley Rd
Suite 200
Highland Park, IL 60035-1041
Phone (847) 386-7744

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Sep 15, 2021 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince Feb 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 31, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 31, 2023 Accepting new patients
Telemedico Physicians Pulmonary SC CurrentSince Apr 21, 2025 Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1305 Randall Rd
Crystal Lake, IL 60014
Phone (815) 261-1221

335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

3330 Skokie Valley Rd
Highland Park, IL 60035

3330 Skokie Valley Rd
Ste 200
Highland Park, IL 60035
Phone 8473867744202

803 Royal Dr
McHenry, IL 60050
Phone (815) 335-2600

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

2406 Hartland Rd
Woodstock, IL 60098
Phone (815) 338-0312

Interoperability endpoints

  • Direct secure messaging: pmaloney104830@direct.mhemail.org
  • Direct secure messaging: pmaloney325734@direct.myadvocateaurora.org

Organizations & group practices 5

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1871267997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S. ROUTE 31",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148190",
            "telephone_number": "779-220-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S. ROUTE 31",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148190",
            "telephone_number": "779-220-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10350 Haligus Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429545",
            "country_code": "US",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "PAMELA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmaloney325734@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3925 W Elm St",
            "city": "McHenry",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600504361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3925 W Elm St",
            "city": "McHenry",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600504361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MADRIGAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.