Individual provider Active NPI

Eric Martinez, APN, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1952761868
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013932 Issued in IL
Practice address
600 W Fulton St
Suite 200
Chicago, IL 60661-1259
Phone
(312) 526-2083
NPI assigned
Mar 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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 209013932 IL Primary

Addresses

Primary practice location

600 W Fulton St
Suite 200
Chicago, IL 60661-1259

Mailing address

2138 S Indiana Ave
Apt. 2504
Chicago, IL 60616-4930
Phone (815) 505-7783

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emartinez9351@direct.achn.net 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
I20160425000691 IL Practitioner - Nurse Practitioner 4486953502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

1639 N Alpine Rd
Suite 260
Rockford, IL 61107-1481
Phone (815) 395-1500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209013932ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Apr 11, 2016 Accepting new patients
Access Community Health Network CurrentSince Apr 11, 2016 Accepting new patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Mar 1, 2024 Accepting new patients
Access Community Health Network Current Accepting new patients
Lakeview Immediate Care LLC CurrentSince Nov 18, 2023 Accepting new patients

Locations

135 N Arlington Heights Rd
Ste 105
Buffalo Grove, IL 60089
Phone (847) 291-8810

1817 S Loomis St
Chicago, IL 60608
Phone (312) 666-6511

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

1645 W School St
Ste A
Chicago, IL 60657
Phone (773) 227-3669

2300 Lehigh Ave
Ste 215
Glenview, IL 60026
Phone (847) 621-7700

444 N Northwest Hwy
Ste 202
Park Ridge, IL 60068
Phone (847) 268-0280

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

Interoperability endpoints

  • Direct secure messaging: eric.martinez.1@25899.direct.athenahealth.com
  • Direct secure messaging: emartinez9351@direct.achn.net

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": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1952761868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 S INDIANA AVE",
            "address_2": "APT. 2504",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164930",
            "telephone_number": "815-505-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W FULTON ST",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611259",
            "telephone_number": "312-526-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "APN, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emartinez9351@direct.achn.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 W Fulton St",
            "address_2": "Suite 200",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606611259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.