COLLEEN ANN MARTIN FNP
NPI 1215719380
Nurse Practitioner - Family in Libertyville, IL

Active since October 13, 2023PECOS EnrolledAccepts Medicare Assignment
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048(847) 362-2900 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2025, Sep 24, 2024, Oct 13, 2023 (3 updates tracked since 2023).

About Colleen Ann Martin Fnp NPPES

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

COLLEEN ANN MARTIN FNP (NPI 1215719380) is an individual family provider in Libertyville, Illinois, licensed in Illinois (209029424) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Advocate Condell Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215719380
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOLLEEN ANN MARTINCredential: FNP
Location Address801 S MILWAUKEE AVELibertyville, IL 60048-3204
Mailing Address2778 N Milwaukee Ave Apt 219Chicago, IL 60647-1323 · (815) 210-0811
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 13, 2023
Last NPPES UpdateJune 10, 20253 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1215719380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209029424
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.536425 (IL)
801 S MILWAUKEE AVE, Libertyville, IL 60048

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Colleen Ann Martin Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42745606
PECOS Enrollment IDI20241120001025
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Physical Therapist
801 S MILWAUKEE AVE, REHAB DEPARTMENT
LIBERTYVILLE, IL 60048
Radiology (Radiation Oncology)
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Registered Nurse (Diabetes Educator)
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
General Acute Care Hospital
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Nurse Practitioner
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Emergency Medicine
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Emergency Medicine
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

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 Colleen Martin's NPI number?

The NPI number for Colleen Martin is 1215719380. It was assigned to this individual provider in the NPPES registry on October 13, 2023.

Where is Colleen Martin located?

Colleen Martin practices at 801 S Milwaukee Ave, Libertyville, IL 60048. The listed phone number is (847) 362-2900.

What is Colleen Martin's specialty?

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

Is Colleen Martin enrolled in Medicare?

Yes. Colleen Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Colleen Martin affiliated with any hospitals?

According to CMS data, Colleen Martin is affiliated with Advocate Condell Medical Center.

When was this NPI record last updated?

The NPPES record for Colleen Martin was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.