ELIZABETH J WHELAN (APRN,CNM) – Midwife, NPI 1629320445

ELIZABETH J WHELAN (APRN,CNM) is a healthcare provider. based in Peoria, Illinois. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials APRN,CNM. They hold a License No. 1080038 (TX). The NPI Number for ELIZABETH J WHELAN (APRN,CNM) is 1629320445

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH J WHELAN (APRN,CNM)
NPI
1629320445
Phone
(309) 683-6700
Address
4911 N EXECUTIVE DR
Enumeration Date
3 October 2012
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3256920626
Graduation Year
2012 (14 years ago)
PAC ID
8820233893
Group Practice PAC ID
7719884584
Professional Enrollment ID
I20221010002572
Address ID
TX796012431AB1933XSTXX302

Contacts

Secure Messaging
ewhelan187176@CookChildrens.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness95
Years active:13State licenses:3Other names

236 CERTIFIED NURSE MIDWIFE (CNM) in IL

Provider Addresses for ELIZABETH J WHELAN (APRN,CNM)

  • 4911 N EXECUTIVE DR

    PEORIA, IL 616144896

    Phone: (309) 683-6700

    Fax: (309) 683-6722

    Type: Mailing

  • PO BOX 733784

    DALLAS, TX 753733784

    Phone: (682) 885-6483

    Fax: (682) 885-3113

    Type: Mailing

  • 530 NE Glen Oak Ave Ste 1200

    Peoria, IL 616372431

    Phone: (309) 624-7811

    Type: Location

  • 1933 PINE ST STE A

    ABILENE, TX 796012431

    Phone: (325) 692-0626

    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: 2022-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130321000437ICertified Nurse Midwife (Cnm)ILTBD
I20221010002572ICertified Nurse Midwife (Cnm)TXTBD

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 61614)

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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: 7719884584View full group profile
NameSpecialtyState
Pediatric Medicine, Cardiac ElectrophysiologyTX
-OK
-TX
H O S P I T A L I S TVA
-TX
-TX
-TX
Pulmonary Disease, Pediatric MedicineTX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How do I look up ELIZABETH J WHELAN (APRN,CNM) by NPI?
Use NPI 1629320445 when you need to reference ELIZABETH J WHELAN (APRN,CNM) in forms, claims, or directories.
Is ELIZABETH J WHELAN (APRN,CNM)'s NPI currently valid?
The extract we use shows ELIZABETH J WHELAN (APRN,CNM) as active.
What field does ELIZABETH J WHELAN (APRN,CNM) work in?
You can think of ELIZABETH J WHELAN (APRN,CNM) as practicing within Midwife. Clinical services aligned with this taxonomy classification.
What location metadata exists for ELIZABETH J WHELAN (APRN,CNM)?
The page summarizes Peoria, Illinois for ELIZABETH J WHELAN (APRN,CNM); expand the address list for detail.
How can I contact ELIZABETH J WHELAN (APRN,CNM)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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