JACQUELINE MARTINEZ NP
NPI 1457092868
Nurse Practitioner - Family in Chicago, IL

Q: What is Jacqueline Martinez's NPI number?

The NPI number for Jacqueline Martinez is 1457092868. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Q: What is Jacqueline Martinez's specialty?

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

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment

2875 W 19TH ST, CHICAGO, IL 60623(312) 402-6878 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2023, Apr 7, 2022 (2 updates tracked since 2022).

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About Jacqueline Martinez Np NPPES

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

JACQUELINE MARTINEZ NP (NPI 1457092868) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.023124) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1457092868

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE MARTINEZCredential: NP

Location Address2875 W 19TH STChicago, IL 60623-3596

Mailing Address2875 W 19th StChicago, IL 60623-3596 · (312) 402-6878

Phone(312) 402-6878

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 7, 2022

Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2023

✔ NPI 1457092868 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

License✔ Licensed in IL · 209.023124

2875 W 19TH ST, Chicago, IL 60623

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Jacqueline Martinez Np 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 ID1850776295

PECOS Enrollment IDI20220921000470

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

45 services25 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

36 services18 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

18 services12 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Saint Anthony Hospital

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140095

Location2875 West 19th StreetChicago, IL 60623 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60623 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

PATHOLOGY SERVICES ILLINOIS, LTD

Pathology (Anatomic Pathology & Clinical Pathology)

2875 W 19TH ST
CHICAGO, IL 60623

Cook County (773) 484-1000

DR. ZAHID ALEEM HASAN MD

Pediatrics

2875 W 19TH ST, 3RD FLOOR, PEDIATRICS
CHICAGO, IL 60623

Cook County (773) 484-4065

SRIPATHY RAO

Pediatrics

2875 W 19TH ST
CHICAGO, IL 60623

Cook County (312) 332-6626

CHRISTINE LEUNG OTR/L

Occupational Therapist

2875 W 19TH ST
CHICAGO, IL 60623

Cook County (773) 484-1854

GIOVANNA ELENA SAVASTANO OTR/L

Occupational Therapist

2875 W 19TH ST
CHICAGO, IL 60623

Cook County (773) 484-1000

EUGENIO SALAZAR MD

Obstetrics & Gynecology

2875 W 19TH ST
CHICAGO, IL 60623

Cook County (773) 484-1000

KRISTINE NOEL WEIDNER M.D.

Emergency Medicine

2875 W 19TH ST
CHICAGO, IL 60623

Cook County (773) 484-4831

RITA C TALLUD MD

General Practice

2875 W 19TH ST
CHICAGO, IL 60623

Cook County (773) 484-1000

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 Jacqueline Martinez's NPI number?

The NPI number for Jacqueline Martinez is 1457092868. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Jacqueline Martinez located?

Jacqueline Martinez practices at 2875 W 19th St, Chicago, IL 60623. The listed phone number is (312) 402-6878.

What is Jacqueline Martinez's specialty?

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

Is Jacqueline Martinez enrolled in Medicare?

Yes. Jacqueline Martinez 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.

What insurance does Jacqueline Martinez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jacqueline Martinez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacqueline Martinez affiliated with any hospitals?

According to CMS data, Jacqueline Martinez is affiliated with Saint Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Martinez was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.