NICOLE M MCDONALD-MARTINEZ – Clinical Social Worker, NPI 1396058830

NICOLE M MCDONALD-MARTINEZ is a healthcare provider. based in Sandwich, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 149014074 (IL). The NPI Number for NICOLE M MCDONALD-MARTINEZ is 1396058830

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE M MCDONALD-MARTINEZ
NPI
1396058830
Phone
(815) 786-8606
Address
207 E CHURCH ST
Enumeration Date
26 July 2010
Last Update Date
18 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
4284815267
Professional Enrollment ID
I20110223001114
Address ID
IL605601896YO1905XDRXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,557 CLINICAL SOCIAL WORKER in IL

Provider Addresses for NICOLE M MCDONALD-MARTINEZ

  • 207 E CHURCH ST

    SUITE A

    SANDWICH, IL 605489803

    Phone: (815) 786-8606

    Fax: (815) 786-1541

    Type: Location

  • 1120 E MAIN ST

    ST CHARLES, IL 601742287

    Phone: (630) 377-6613

    Fax: (630) 377-6225

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-23

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110223001114IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60548)

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Reviews

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Frequently asked questions

How is NICOLE M MCDONALD-MARTINEZ identified in CMS data?
CMS-hosted NPPES data lists NICOLE M MCDONALD-MARTINEZ with NPI 1396058830.
Does CMS list NICOLE M MCDONALD-MARTINEZ as active?
Yes — NICOLE M MCDONALD-MARTINEZ is active in the NPI listing used on this page.
What is NICOLE M MCDONALD-MARTINEZ's primary classification?
Clinical Social Worker is the headline specialty for NICOLE M MCDONALD-MARTINEZ here. Clinical services aligned with this taxonomy classification.
What address line appears for NICOLE M MCDONALD-MARTINEZ?
NICOLE M MCDONALD-MARTINEZ's geographic hint is Sandwich, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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