TRESSIE C LANDRETH (CNM) – Advanced Practice Midwife, NPI 1598919987

TRESSIE C LANDRETH (CNM) is a healthcare provider. based in Carbondale, Illinois. specializing in Advanced Practice Midwife. They hold the professional credentials CNM. They hold a License No. 3005421 (KY). The NPI Number for TRESSIE C LANDRETH (CNM) is 1598919987

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
TRESSIE C LANDRETH (CNM)
NPI
1598919987
Phone
(618) 997-5266
Address
900 E WALNUT ST
Enumeration Date
11 November 2008
Last Update Date
1 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189975266
Graduation Year
2007 (19 years ago)
PAC ID
6204053267
Group Practice PAC ID
1759270648
Professional Enrollment ID
I20140814001810
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness75
Years active:17State licenses:5Digital endpointsOther names

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Provider Addresses for TRESSIE C LANDRETH (CNM)

  • East Walnut Street, Carbondale, Jackson County, Illinois, 62901, United States

    STE 10

    CARBONDALE, IL 629013132

    Phone: (618) 997-5266

    Fax: (618) 997-5285

    Type: Location

  • 3408 Office Park Dr

    Marion, IL 629596477

    Phone: (618) 997-5266

    Fax: (618) 997-5285

    Type: Location

  • 485 N Keller Rd Ste 551

    Maitland, FL 327518654

    Phone: (270) 564-6635

    Fax: (407) 200-0624

    Type: Location

  • 601 E Rollins St

    Orlando, FL 328031248

    Phone: (407) 975-0406

    Type: Location

  • 601 E ROLLINS ST

    ORLANDO, FL 328031248

    Phone: (407) 975-0406

    Type: Mailing

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326101248

    Phone: (352) 273-7584

    Type: Location

  • Veterans Memorial Drive, Mount Vernon, Jefferson County, Illinois, 62864, United States

    MOUNT VERNON, IL 62864

    Phone: (618) 997-5266

    Fax: (618) 997-5285

    Type: Mailing

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: 2022-10-20

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
I20221020000066ICertified Nurse Midwife (Cnm)FLTBD

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 62901)

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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: 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

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Frequently asked questions

Can I verify TRESSIE C LANDRETH (CNM) with an NPI only?
You can start verification with NPI 1598919987 for TRESSIE C LANDRETH (CNM), then check state licensing separately.
Does the file indicate TRESSIE C LANDRETH (CNM) is practicing under active NPI?
Directory data currently reports TRESSIE C LANDRETH (CNM) as active.
What healthcare role does TRESSIE C LANDRETH (CNM) hold?
Scheduling teams often label TRESSIE C LANDRETH (CNM) under Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where should I expect TRESSIE C LANDRETH (CNM) on a map?
Expect Carbondale, Illinois as a primary anchor for TRESSIE C LANDRETH (CNM) unless the record lists multiple sites.
Is the information about TRESSIE C LANDRETH (CNM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."