PAMELA JELLEN (CNM) – Advanced Practice Midwife, NPI 1588105944

PAMELA JELLEN (CNM) is a healthcare provider. based in Mount vernon, Illinois. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 209015783 (IL). The NPI Number for PAMELA JELLEN (CNM) is 1588105944

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA JELLEN (CNM)
NPI
1588105944
Phone
(618) 997-5266
Address
1407 MCPHERSON AVE
Enumeration Date
17 March 2017
Last Update Date
17 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189975266
Graduation Year
2016 (10 years ago)
PAC ID
2769739010
Group Practice PAC ID
1759270648
Professional Enrollment ID
I20180718002276
Address ID
IL629013132CA900XXSTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

236 CERTIFIED NURSE MIDWIFE (CNM) in IL

Loading map...

Provider Addresses for PAMELA JELLEN (CNM)

  • 1407, McPherson Avenue, Mount Vernon, Jefferson County, Illinois, 62864, United States

    MOUNT VERNON, IL 628642822

    Phone: (618) 997-5266

    Fax: (618) 997-5285

    Type: Mailing

  • Park Drive, Garden Village, Fairmont, Marion County, West Virginia, 26554, United States

    MARION, IL 629596477

    Phone: (618) 997-5266

    Fax: (618) 997-5285

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Astellas Pharma US Inc ($137).

Total Amount

$247

General + Research + Ownership

Payments

11

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

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: 2018-07-18

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
I20180718002276ICertified 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 62864)

Loading plans...

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: 1759270648View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
Certified Nurse Midwife (Cnm)IL
Certified Nurse Midwife (Cnm)IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
Certified Nurse Midwife (Cnm)IL
-IL
Certified Nurse Midwife (Cnm)IL
Nurse PractitionerIL

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.

Frequently asked questions

What is the registry number for PAMELA JELLEN (CNM)?
The registry entry for PAMELA JELLEN (CNM) shows NPI 1588105944.
Is PAMELA JELLEN (CNM)'s NPI status active today?
Active status means PAMELA JELLEN (CNM)'s NPI record is not deactivated in the public file.
What type of care does PAMELA JELLEN (CNM) provide?
PAMELA JELLEN (CNM)'s profile centers on Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What city is tied to PAMELA JELLEN (CNM)?
The directory associates PAMELA JELLEN (CNM) with Mount Vernon, Illinois. Check all listed addresses for suites or satellite offices.
Can I export PAMELA JELLEN (CNM)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

SUSAN E MASSEY (CNM, WHNP)

Advanced Practice Midwife
340, West Lincoln Street, Belleville, Saint Clair County, Illinois, 62220, United States
NPI: 1437172079

AMANDA BARTON SHELTON (CNM)

Advanced Practice Midwife
3130 VETERANS MEMORIAL DR
NPI: 1396961363
East Walnut Street, Carbondale, Jackson County, Illinois, 62901, United States
NPI: 1598919987
3230 VETERANS MEMORIAL DR
NPI: 1871923235

SHANNON WALLER DAVIS (CNM)

Advanced Practice Midwife
1407 MCPHERSON AVE
NPI: 1063884799

JULIE BRASEL (C.N.M.)

Advanced Practice Midwife
1407 MCPHERSON AVE
NPI: 1093268583

MARION REYES

Advanced Practice Midwife
1407, McPherson Avenue, Mount Vernon, Jefferson County, Illinois, 62864, United States
NPI: 1285170746

SHANNAN CANTU SANTOLI (APNP CNM)

Advanced Practice Midwife
9200 W WISCONSIN AVE
NPI: 1982143335
504, North 27th Street, Webster Hill Estates, Mount Vernon, Jefferson County, Illinois, 62864, United States
NPI: 1740779081