CARLEEN M POELLINGER (CNM) – Advanced Practice Midwife, NPI 1780688143

CARLEEN M POELLINGER (CNM) is a healthcare provider. based in La crosse, Wisconsin. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 129428 (WI). The NPI Number for CARLEEN M POELLINGER (CNM) is 1780688143

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
CARLEEN M POELLINGER (CNM)
NPI
1780688143
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
13 June 2005
Last Update Date
22 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5076150600
Graduation Year
1999 (27 years ago)
PAC ID
5597959320
Group Practice PAC ID
2163331414
Professional Enrollment ID
I20200715000368
Address ID
MN559871957WI1122X61XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

139 CERTIFIED NURSE MIDWIFE (CNM) in WI

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Provider Addresses for CARLEEN M POELLINGER (CNM)

  • South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Mailing address matches the actual address.

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: 2020-07-15

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
I20101104001655ICertified Nurse Midwife (Cnm)WITBD
I20200715000368ICertified Nurse Midwife (Cnm)MNTBD

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 54601)

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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: 2163331414View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Physician AssistantWI
-WI
-WI
Family PracticeWI
Nurse PractitionerWI
-IL
-WI
Gastroenterology, Internal MedicineWI

Reviews

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Frequently asked questions

Can I verify CARLEEN M POELLINGER (CNM) with an NPI only?
You can start verification with NPI 1780688143 for CARLEEN M POELLINGER (CNM), then check state licensing separately.
Does the file indicate CARLEEN M POELLINGER (CNM) is practicing under active NPI?
Directory data currently reports CARLEEN M POELLINGER (CNM) as active.
What is CARLEEN M POELLINGER (CNM)'s primary classification?
Advanced Practice Midwife is the headline specialty for CARLEEN M POELLINGER (CNM) here. Clinical services aligned with this taxonomy classification.
What area does CARLEEN M POELLINGER (CNM) serve?
CARLEEN M POELLINGER (CNM)'s listing highlights La Crosse, Wisconsin; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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