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TPA NETWORK INCORPORATED
NPI 1912752569
Family Medicine in Chicago, IL

Active since April 18, 2024
5537 N BROADWAY ST, CHICAGO, IL 60640(773) 989-9400(773) 989-9494 Get Directions Write a Review

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

Record update history: Mar 25, 2026, Apr 18, 2024 (2 updates tracked since 2024).

About Tpa Network Incorporated NPPES

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

TPA NETWORK INCORPORATED (NPI 1912752569) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since April 2024. The organization lists Tanya Mauldin, Provider Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1912752569
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTPA NETWORK INCORPORATED
Location Address5537 N BROADWAY STChicago, IL 60640-1405
Mailing AddressPo Box 18440Palatine, IL 60055-8440 · (866) 525-5484 · Fax (833) 394-4961
Phone(773) 989-9400
Fax(773) 989-9494
Organization SubpartNo
Authorized OfficialTanya MauldinProvider Enrollment Manager · (414) 225-1611
Enumeration DateApril 18, 2024
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1912752569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
5537 N BROADWAY ST, Chicago, IL 60640
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Other Names 1

Other NameTpan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Dean Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tpa Network Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Tpa Network Incorporated, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Mental Health Counselor3
Clinical Social Worker2
Internal Medicine2
Psychiatry2
Family Practice1
Nurse Practitioner1

Clinicians, nearest first (11)

Erin Conley, LCPC
Clinical Social Worker
NPI 1811623580
5537 N BROADWAY ST
Chicago, IL 60640
(773) 989-9400
✔ PECOS✔ Accepts MedicareSame address
Dayna Flores, LPC
Mental Health Counselor
NPI 1538434212
5537 N BROADWAY ST
Chicago, IL 60640
(773) 989-9400
✔ PECOS✔ Accepts MedicareSame address
Christina Joly, LCOC
Mental Health Counselor
NPI 1568007433
5537 N BROADWAY ST
Chicago, IL 60640
(773) 818-8081
✔ PECOS✔ Accepts MedicareSame address
Owen Morse
Clinical Social Worker
NPI 1922782747
5537 N BROADWAY ST
Chicago, IL 60640
(773) 989-9400
✔ PECOS✔ Accepts MedicareSame address
John Stryker, NP
Nurse Practitioner
NPI 1427281336
5537 N BROADWAY ST
Chicago, IL 60640
(737) 989-9400
✔ PECOS✔ Accepts MedicareSame address
Beverly Brock, LCPC, CADC
Mental Health Counselor
NPI 1548001019
1026 W LAWRENCE AVE
Chicago, IL 60640
(773) 989-9400
✔ PECOS✔ Accepts Medicare1.0 mi
Corinne Blum, M.D.
Family Practice
NPI 1699791400
6500 N CLARK ST
Chicago, IL 60626
(773) 388-1600
✔ PECOS✔ Accepts Medicare1.3 mi
Travis Amengual, MD
Psychiatry
NPI 1386147163
3948 N SHERIDAN RD STE 100
Chicago, IL 60613
(773) 388-1600
✔ PECOS✔ Accepts Medicare2.0 mi
Jo-Ann Jose, M.D.
Internal Medicine
NPI 1568722650
676 N SAINT CLAIR ST STE 940
Chicago, IL 60611
(312) 926-8358
✔ PECOS✔ Accepts Medicare6.5 mi
Martha Hernandez, M.D.
Psychiatry
NPI 1528284452
3787 GRANT ST
Gary, IN 46408
(219) 981-4800
✔ PECOS✔ Accepts Medicare34 mi
Amesika Nyaku, M.D., M.S.
Internal Medicine
NPI 1134440647
150 BERGEN ST D LEVEL
Newark, NJ 07103
(973) 972-5111
✔ PECOS✔ Accepts Medicare705 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 Tpa Network Incorporated's NPI number?

The NPI number for Tpa Network Incorporated is 1912752569. It was assigned to this organization in the NPPES registry on April 18, 2024. The provider is also known as Tpan.

Where is Tpa Network Incorporated located?

Tpa Network Incorporated is located at 5537 N Broadway St, Chicago, IL 60640. The listed phone number is (773) 989-9400.

What is Tpa Network Incorporated's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tpa Network Incorporated enrolled in Medicare?

Yes. Tpa Network Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tpa Network Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 6 Medicare specialties reassign their Medicare billing to Tpa Network Incorporated. 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. The largest specialties are Mental Health Counselor (3), Clinical Social Worker (2) and Internal Medicine (2). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tpa Network Incorporated accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Dean Health Plan list Tpa Network Incorporated 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.

When was this NPI record last updated?

The NPPES record for Tpa Network Incorporated was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.