ERIN LEIGH ETHERIDGE-BAGLEY (CNM) – Advanced Practice Midwife, NPI 1417340530
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
236 CERTIFIED NURSE MIDWIFE (CNM) in IL
Provider Addresses for ERIN LEIGH ETHERIDGE-BAGLEY (CNM)
12291 76TH RD N
WEST PALM BEACH, FL 334122277
Phone:
Type: Mailing
900 E WALNUT ST STE 10
CARBONDALE, IL 629013132
Phone: (618) 997-5266
Type: Location
3400 BURNS RD STE 200
PALM BEACH GARDENS, FL 334104347
Phone: (561) 425-9096
Type: Location
11924 Forest Hill Blvd # 10A-243
Wellington, FL 334146256
Phone: (561) 693-5143
Fax: (561) 245-9150
Type: Location
845 Palm Beach Rd
South Bay, FL 334932037
Phone: (561) 693-5143
Fax: (561) 245-9150
Type: Location
3400 Burns Rd Ste 200
Palm Beach Gardens, FL 334104347
Phone: (561) 425-9096
Type: Location
3408 Office Park Dr
Marion, IL 629596477
Phone: (618) 997-5266
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $704.
Total Amount is formed as General ($704) + Research ($0) + Ownership ($0) = $704.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($291).
Total Amount
$704
General + Research + Ownership
Payments
36
Total payment records
General Amount
$704
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $291 |
| Exact Sciences Corporation | $65 |
| Exeltis, USA Inc. | $64 |
| Amgen Inc. | $63 |
| Shield Therapeutics Inc | $44 |
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: 2025-02-05
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250205004093 | I | Certified Nurse Midwife (Cnm) | IL | TBD |
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.
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 33412)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| - | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL |
Reviews
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