BETH A KILLAM (CNM) – Advanced Practice Midwife, NPI 1023104924

BETH A KILLAM (CNM) is a healthcare provider. based in Springfield, Illinois. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 209-003871 (IL). The NPI Number for BETH A KILLAM (CNM) is 1023104924

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
BETH A KILLAM (CNM)
NPI
1023104924
Phone
(217) 528-7541
Address
1025 S 6TH ST
Enumeration Date
5 October 2006
Last Update Date
29 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
2175287541
Graduation Year
2001 (25 years ago)
PAC ID
2961409990
Group Practice PAC ID
0547166076
Professional Enrollment ID
I20061103000267
Address ID
IL627023749SP900XXSTXX400

Contacts

Secure Messaging
bethkillam@sfc.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

236 CERTIFIED NURSE MIDWIFE (CNM) in IL

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Provider Addresses for BETH A KILLAM (CNM)

  • 1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States

    SPRINGFIELD, IL 627032403

    Phone: (217) 528-7541

    Type: Mailing

  • 900, North 1st Street, Springfield, Sangamon County, Illinois, 62702, United States

    SPRINGFIELD, IL 627023749

    Phone: (217) 528-7541

    Fax: (217) 535-3665

    Type: Location

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: 2006-11-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061103000267ICertified Nurse Midwife (Cnm)ILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5145$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1111$0
View full utilization report →

Insurance plans in this area (ZIP 62703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547166076View full group profile

Reviews

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Frequently asked questions

Is there an official ID for BETH A KILLAM (CNM) in U.S. healthcare records?
The official identifier for BETH A KILLAM (CNM) is NPI 1023104924.
Active or inactive — what applies to BETH A KILLAM (CNM)?
You should see BETH A KILLAM (CNM) as active in CMS-hosted NPPES data.
What clinical focus is listed for BETH A KILLAM (CNM)?
At a glance, BETH A KILLAM (CNM) is tied to Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Is BETH A KILLAM (CNM) located near Springfield?
BETH A KILLAM (CNM) currently maps to Springfield, Illinois in this extract.
When was this NPI issued?
Enumeration for BETH A KILLAM (CNM) is noted as October 5, 2006 where the registry provides it.

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