TINA MINGO (C.N.M.) – Advanced Practice Midwife, NPI 1114978822

TINA MINGO (C.N.M.) is a healthcare provider. based in Chicago, Illinois. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials C.N.M.. They hold a License No. 209-005740 (IL). The NPI Number for TINA MINGO (C.N.M.) is 1114978822

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
TINA MINGO (C.N.M.)
NPI
1114978822
Phone
(312) 413-7686
Address
1740 W TAYLOR ST RM 4014
Enumeration Date
15 May 2006
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
3072522549
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20060411000402
Address ID
IL602011700EV2650XAVEX300

Contacts

Secure Messaging
tmingo207731@direct.edward.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

236 CERTIFIED NURSE MIDWIFE (CNM) in IL

Provider Addresses for TINA MINGO (C.N.M.)

  • 1740 W TAYLOR ST RM 4014

    CHICAGO, IL 606127232

    Phone: (312) 413-7686

    Fax: (312) 413-4363

    Type: Mailing

  • 4201 WINFIELD RD FL 4

    WARRENVILLE, IL 605554025

    Phone: (331) 221-6377

    Fax: (331) 221-2357

    Type: Mailing

  • 1200 S YORK ST STE 4120

    ELMHURST, IL 601265630

    Phone: (331) 221-9009

    Fax: (331) 221-2750

    Type: Location

  • 820, South Wood Street, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60608, United States

    MC 808

    CHICAGO, IL 606124325

    Phone: (312) 413-1716

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Exeltis, USA Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Exeltis, USA Inc.$20
View all Open Payments →|Open Payments Risk Radar →

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: 2006-04-11

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
I20060411000402ICertified 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.

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

Insurance plans in this area (ZIP 60612)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

How do payers reference TINA MINGO (C.N.M.)?
For TINA MINGO (C.N.M.), use NPI 1114978822 as the unique 10-digit identifier.
Is TINA MINGO (C.N.M.) still an active registrant?
TINA MINGO (C.N.M.) carries an active NPI according to the public dataset.
What area of care is associated with TINA MINGO (C.N.M.)?
TINA MINGO (C.N.M.)'s record emphasizes Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What locale is associated with TINA MINGO (C.N.M.)?
Directory geography for TINA MINGO (C.N.M.) centers on Chicago, Illinois.
When was this NPI issued?
Enumeration for TINA MINGO (C.N.M.) is noted as May 15, 2006 where the registry provides it.

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