JENNA RUTH HAEBERLE (APRN, CNM) – Advanced Practice Midwife, NPI 1033577762
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNA RUTH HAEBERLE (APRN, CNM)
172 E SCHILLER ST
ELMHURST, IL 601262816
Phone: (331) 221-9053
Type: Mailing
1200 S YORK ST
SUITE 4120
ELMHURST, IL 601265626
Phone: (331) 221-9009
Type: Location
900 N Westmoreland Rd Ste 112
Lake Forest, IL 600451674
Phone: (224) 241-4238
Fax: (847) 615-2260
Type: Location
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 532042203
Phone: (414) 672-1353
Type: Location
PO BOX 778789
CHICAGO, IL 606778789
Phone: (414) 672-1353
Type: Mailing
900 N WESTMORELAND RD STE 112
LAKE FOREST, IL 600451674
Phone: (224) 241-4238
Fax: (847) 615-2260
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160222000411 | I | Certified Nurse Midwife (Cnm) | IL | TBD |
| I20230929001799 | I | Certified Nurse Midwife (Cnm) | WI | 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 60126)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| - | IL | |
| A L L E R G Y/ I M M U N O L O G Y | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.