Unknown Individual – Advanced Practice Midwife, NPI 1740364488
Advanced Practice Midwife
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
4500 MEMORIAL DRIVE- MEDICAL AFFAIR
CREDENTIALING DEPARTMENT
BELLEVILLE, IL 62226
Phone: (618) 257-4644
Fax: (618) 257-6946
Type: Mailing
4600 Memorial Dr
Suite 400
Belleville, IL 622265368
Phone: (618) 234-2390
Fax: (618) 234-9936
Type: Location
1414 CROSS ST STE 240
SHILOH, IL 622692988
Phone: (618) 234-2390
Fax: (618) 234-9936
Type: Mailing
4600, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States
SUITE 400
BELLEVILLE, IL 622265368
Phone: (618) 234-2390
Fax: (618) 234-9936
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2023-08-25 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($59).
Total Amount
$124
General + Research + Ownership
Payments
8
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $59 |
| ABBVIE INC. | $34 |
| Avanos Medical | $31 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 62226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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