KATHERINE E HEROLD (APN) – Advanced Practice Midwife, NPI 1215283197

KATHERINE E HEROLD (APN) is a healthcare provider. based in Berwyn, Illinois. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials APN. They hold a License No. 209009237 (IL). The NPI Number for KATHERINE E HEROLD (APN) is 1215283197

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE E HEROLD (APN)
NPI
1215283197
Phone
(708) 386-0845
Address
6201 ROOSEVELT RD
Enumeration Date
30 July 2012
Last Update Date
24 December 2019

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7083830113220005
Graduation Year
2011 (15 years ago)
PAC ID
6709030141
Group Practice PAC ID
1557270139
Professional Enrollment ID
I20130212000076
Address ID
IL603022606OA14XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

236 CERTIFIED NURSE MIDWIFE (CNM) in IL

Provider Addresses for KATHERINE E HEROLD (APN)

  • 6201 ROOSEVELT RD

    BERWYN, IL 604021108

    Phone: (708) 386-0845

    Fax: (708) 386-8472

    Mailing address matches the actual address.

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 $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2023-10-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($120).

Total Amount

$120

General + Research + Ownership

Payments

1

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-02-12

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
I20130212000076ICertified 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 60402)

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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: 1557270139View full group profile
NameSpecialtyState
Family PracticeIL
-IL
Clinical Social WorkerIL
Family PracticeIL
-IL
Hospitalist, Family PracticeIL
-IL
Family PracticeIL
Nurse PractitionerIL
Family PracticeMI

Reviews

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Frequently asked questions

What unique ID ties claims to KATHERINE E HEROLD (APN)?
NPI 1215283197 is assigned to KATHERINE E HEROLD (APN) under the national enumeration system.
Does this profile mean KATHERINE E HEROLD (APN) is currently active?
Yes — KATHERINE E HEROLD (APN) appears active in the national provider directory.
Does KATHERINE E HEROLD (APN) list a primary specialty?
If you are matching referrals, note Advanced Practice Midwife for KATHERINE E HEROLD (APN). Clinical services aligned with this taxonomy classification.
Does KATHERINE E HEROLD (APN) practice in Illinois?
You will see Berwyn, Illinois on file for KATHERINE E HEROLD (APN) alongside any extra practice locations.
Is KATHERINE E HEROLD (APN) a real provider?
This page reflects official NPPES data for NPI 1215283197. Always confirm identity and privileges with the practice and licensing boards.

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