MARITTA A PENEGOR CFNP
NPI 1790976231
Nurse Practitioner in Olympia Fields, IL

NPI Status: Active since August 08, 2007

Contact Information

3800 W 203RD ST
OLYMPIA FIELDS, IL
ZIP 60461
Phone: (708) 747-0461
Fax: (708) 747-0607

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  • Nurse Practitioner

About MARITTA A PENEGOR CFNP

This page provides the complete NPI Profile along with additional information for Maritta A Penegor Cfnp, a provider established in Olympia Fields, Illinois operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1790976231 assigned on August 2007. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. Maritta A Penegor Cfnp operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Maritta A Penegor Cfnp. The authorized official of this NPI record is Deborah J Nelson (Ceo)

NPI
1790976231
Provider Legal Name
MIDWEST PHYSICIAN GROUP LTD
Other Organization Name
MARITTA A PENEGOR CFNP
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3800 W 203RD ST OLYMPIA FIELDS, IL 60461
Location Phone
(708) 747-0461
Location Fax
(708) 747-0607
Mailing Address
20110 GOVERNORS HWY OLYMPIA FIELDS, IL 60461
Mailing Phone
(708) 747-7960
Mailing Fax
(708) 747-0607
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-08-2007
Last Update Date
08-09-2007
Code Navigator

A nurse practitioner (NP) like Maritta A Penegor Cfnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License State
IL
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBORAH J NELSON

Authorized Official Title
CEO
Authorized Official Phone
(708) 747-7960

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
204683MEDICARE PIN (08)IL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790976231, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 8 + 7 + 1 + 2 + 2 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1790976231.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
3800 W 203RD ST, STE 202
OLYMPIA FIELDS, IL 60461
Internal Medicine
3800 W 203RD ST, SUITE 201
OLYMPIA FIELDS, IL 60461
Internal Medicine
3800 W 203RD ST, SUITE 201
OLYMPIA FIELDS, IL 60461
Internal Medicine (Infectious Disease)
3800 W 203RD ST, SUITE 202
OLYMPIA FIELDS, IL 60461
Internal Medicine (Pulmonary Disease)
3800 W 203RD ST, STE 202
OLYMPIA FIELDS, IL 60461
Internal Medicine (Pulmonary Disease)
3800 W 203RD ST, SUITE 202
OLYMPIA FIELDS, IL 60461
Nurse Practitioner (Acute Care)
3800 W 203RD ST, SUITE 204
OLYMPIA FIELDS, IL 60461
Nuclear Medicine
3800 W 203RD ST, SUITE 202
OLYMPIA FIELDS, IL 60461
General Acute Care Hospital
3800 W 203RD ST, SUITE 201
OLYMPIA FIELDS, IL 60461
Internal Medicine (Cardiovascular Disease)
3800 W 203RD ST, SUITE 204
OLYMPIA FIELDS, IL 60461
Nurse Practitioner (Family)
3800 W 203RD ST
OLYMPIA FIELDS, IL 60461
Internal Medicine (Cardiovascular Disease)
3800 W 203RD ST, SUITE 204
OLYMPIA FIELDS, IL 60461
Internal Medicine (Cardiovascular Disease)
3800 W 203RD ST, SUITE 202
OLYMPIA FIELDS, IL 60461
Clinic/Center (Medical Specialty)
3800 W 203RD ST, SUITE 201
OLYMPIA FIELDS, IL 60461
Nurse Practitioner (Family)
3800 W 203RD ST
OLYMPIA FIELDS, IL 60461
Internal Medicine (Pulmonary Disease)
3800 W 203RD ST, SUITE 202
OLYMPIA FIELDS, IL 60461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790976231, enumerated as an "organization" on August 08, 2007.

The provider is located at 3800 W 203RD ST OLYMPIA FIELDS, IL 60461 and the phone number is (708) 747-0461.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.