MRS. MARYBETH ANN MCCARTHY FNP-BC NPI 1619100161

NPI Information

  • NPI: 1619100161
  • Provider Name: MRS. MARYBETH ANN MCCARTHY, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11200 LINCOLN HWY
    MOKENA, IL
    ZIP 60448
  • Phone: (815) 464-2171

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NPI Details

MRS. Marybeth Ann Mccarthy, FNP-BC is a family nurse practitioner in Mokena, IL with 17 years of experience. MRS. Marybeth Ann Mccarthy, FNP-BC NPI is 1619100161. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11200 LINCOLN HWY
MOKENA, IL
ZIP 60448-208
Phone: (815) 464-2171

The NPI 1619100161 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2009 and was last updated on 10/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209008923ILLINOISYes
2363L00000XNurse Practitioner191443ALASKANo
3363L00000XNurse PractitionerRNP273806ARIZONANo
4363LF0000XNurse PractitionerFamilyARNP9255994FLORIDANo
5363L00000XNurse Practitioner12709950UTAHNo
6363L00000XNurse Practitioner193412MONTANANo
7363L00000XNurse Practitioner67338NEW MEXICONo
8363L00000XNurse PractitionerAP61275432WASHINGTONNo
9363L00000XNurse Practitioner95020931CALIFORNIANo
10363L00000XNurse Practitioner2024043729MISSOURINo
11363L00000XNurse Practitioner202203073NP-PPOREGONNo
12363L00000XNurse PractitionerAPRN35860HAWAIINo
13363L00000XNurse Practitioner9337MINNESOTANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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