Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HALEY MARTIN
NPI 1720647605
Physician Assistant in Chicago, IL

Q: What is Haley Martin's NPI number?

The NPI number for Haley Martin is 1720647605. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Q: What is Haley Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Haley Martin was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment

836 W WELLINGTON AVE, CHICAGO, IL 60657(773) 296-7054(773) 296-7818 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 29, 2022, Apr 19, 2022, Nov 28, 2019 and 1 more (4 updates tracked since 2019).

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About Haley Martin NPPES

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

HALEY MARTIN (NPI 1720647605) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085-008255) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1720647605

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHALEY MARTIN

Location Address836 W WELLINGTON AVEChicago, IL 60657-5147

Mailing Address29373 Network PlChicago, IL 60673-1293

Phone(773) 296-7054

Fax(773) 296-7818

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 13, 2019

Last NPPES UpdateJuly 2, 20264 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1720647605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IL · 085-008255✔ Licensed in OH · 50.006195RX

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

836 W WELLINGTON AVE, Chicago, IL 60657

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Secondary Practice Location 1

Location 12320 E 93rd StChicago, IL 60617-3909 · Phone (773) 967-5430

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

Haley Martin 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 ID7416382908

PECOS Enrollment IDI20211227001024

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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

41 services41 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

27 services27 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140048

Location2320 E 93rd StChicago, IL 60617 · Cook County

Emergency services Birthing friendly

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140182

Location836 West Wellington AvenueChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140208

Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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.

DR. ROBERT R TURELLI JR. MD

Emergency Medicine

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 296-5878

JAYME L. CAPPA

Speech-Language Pathologist

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 296-7988

DR. CHIMUANYA OKOLI MD

Internal Medicine (Sleep Medicine)

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 296-5424

DEBRA FARIDA

Nurse Anesthetist, Certified Registered

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 975-1600

MALIK SAHOURI DO

Anesthesiology

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 296-5187

SERGIO GUTIERREZ NUNEZ MD

Anesthesiology

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 296-5187

MS. NOREEN MARIE SHERIDAN RD. LDN,CDE

Dietitian, Registered

836 W WELLINGTON AVE, FOOD AND NUTRITION DEPT.
CHICAGO, IL 60657

Cook County (773) 296-5912

ANN M HARVEY APN, CNP

Nurse Practitioner

836 W WELLINGTON AVE
CHICAGO, IL 60657

Cook County (773) 296-3646

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 Haley Martin's NPI number?

The NPI number for Haley Martin is 1720647605. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Haley Martin located?

Haley Martin practices at 836 W Wellington Ave, Chicago, IL 60657. The listed phone number is (773) 296-7054.

What is Haley Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Haley Martin enrolled in Medicare?

Yes. Haley 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 Haley Martin affiliated with any hospitals?

According to CMS data, Haley Martin is affiliated with Advocate Trinity Hospital, Advocate Illinois Masonic Medical Center and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Haley Martin was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.