JESSICA DUDLEY (CNM) – Advanced Practice Midwife, NPI 1477364230
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
237 CERTIFIED NURSE MIDWIFE (CNM) in IL
Provider Addresses for JESSICA DUDLEY (CNM)
1801 W Taylor St
Chicago, IL 60612
Phone: (312) 996-4175
Type: Location
8558 BROADWAY
MERRILLVILLE, IN 464107032
Phone: (219) 392-7086
Fax: (219) 703-6854
Type: Mailing
100 W CHICAGO AVE STE F
EAST CHICAGO, IN 463123261
Phone: (219) 392-7016
Fax: (219) 397-6904
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: 2025-02-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250212002801 | I | Certified Nurse Midwife (Cnm) | IN | 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 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | IN | |
| - | IL | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| N E U R O L O G Y | NE | |
| Nurse Practitioner | IL | |
| Internal Medicine | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| R H E U M A T O L O G Y | IN | |
| Internal Medicine | IL |
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