AMIE EDEN (CNM) – Advanced Practice Midwife, NPI 1144631003

AMIE EDEN (CNM) is a healthcare provider. based in Urbana, Illinois. specializing in Advanced Practice Midwife. They hold the professional credentials CNM. They hold a License No. 209011420 (IL). The NPI Number for AMIE EDEN (CNM) is 1144631003

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
AMIE EDEN (CNM)
NPI
1144631003
Phone
(217) 383-6792
Address
611 W. PARK ST.
Enumeration Date
14 May 2014
Last Update Date
28 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887122753
Graduation Year
2013 (13 years ago)
PAC ID
2567685985
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20140603001178
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for AMIE EDEN (CNM)

  • 611 W. PARK ST.

    BWPC

    URBANA, IL 618012500

    Phone: (217) 383-6792

    Fax: (217) 383-4752

    Type: Mailing

  • 611 W PARK ST

    SC4

    URBANA, IL 618012529

    Phone: (217) 383-3140

    Fax: (217) 383-4966

    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: 2014-06-03

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
I20140603001178ICertified 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 61801)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

Does AMIE EDEN (CNM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMIE EDEN (CNM) uses 1144631003.
Does the file indicate AMIE EDEN (CNM) is practicing under active NPI?
Directory data currently reports AMIE EDEN (CNM) as active.
What is AMIE EDEN (CNM) best known for clinically?
Directory data describes AMIE EDEN (CNM) with Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where is AMIE EDEN (CNM) based?
AMIE EDEN (CNM) is tied to Urbana, Illinois in the data we show; additional addresses may exist on the full record.
Why does AMIE EDEN (CNM) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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