WHOLISTIC ALLIANCE
NPI 1194662965
Nurse Practitioner - Family in Chicago, IL

Active since April 30, 2026
7000 S RACINE AVE, CHICAGO, IL 60636(872) 302-5290(872) 302-5291 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wholistic Alliance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHOLISTIC ALLIANCE (NPI 1194662965) is a healthcare organization registered as a family in Chicago, Illinois and active in the NPI registry since April 2026. The organization lists Shelia Martin, President, as its authorized official.

NPPES Registry Identity

NPI1194662965
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWHOLISTIC ALLIANCE
Location Address7000 S RACINE AVEChicago, IL 60636-3509
Mailing Address1442 W 74th StChicago, IL 60636 · (872) 302-5290 · Fax (872) 302-5291
Fax(872) 302-5291
Organization SubpartNo
Authorized OfficialShelia MartinPresident · (773) 699-8573
Enumeration DateApril 30, 2026
NPPES CertifiedApril 24, 2026
✔ NPI 1194662965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
7000 S RACINE AVE, Chicago, IL 60636

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wholistic Alliance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wholistic Alliance, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1154820413
1444 W 74TH ST
Chicago, IL 60636
(773) 699-8573
✔ PECOS✔ Accepts Medicare0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wholistic Alliance's NPI number?

The NPI number for Wholistic Alliance is 1194662965. It was assigned to this organization in the NPPES registry on April 30, 2026.

Where is Wholistic Alliance located?

Wholistic Alliance is located at 7000 S Racine Ave, Chicago, IL 60636. The listed phone number is (872) 302-5290.

What is Wholistic Alliance's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Wholistic Alliance enrolled in Medicare?

Yes. Wholistic Alliance is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wholistic Alliance?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wholistic Alliance. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wholistic Alliance was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.