THERESA BAINBRIDGE (CNM) – Advanced Practice Midwife, NPI 1639797624
Advanced Practice Midwife
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for THERESA BAINBRIDGE (CNM)
109 CALIFORNIA ST
PO BOX 577
CARTERVILLE, IL 629180577
Phone: (618) 519-9200
Fax: (618) 985-4635
Type: Mailing
101 S WALL ST
CARBONDALE, IL 629013021
Phone: (618) 519-9200
Fax: (618) 519-9961
Type: Location
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 029054541
Phone: (401) 444-6779
Fax: (401) 444-6912
Type: Mailing
148 W RIVER ST STE G
PROVIDENCE, RI 029042615
Phone: (401) 606-3000
Type: Location
101 S Wall St
Carbondale, IL 629013021
Phone: (618) 519-9200
Fax: (618) 519-9961
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2023-10-19 • Largest payer in this snapshot: Dexcom, Inc. ($74).
Total Amount
$74
General + Research + Ownership
Payments
4
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $74 |
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: 2023-04-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230421001409 | I | Certified Nurse Midwife (Cnm) | RI | TBD |
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.
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 62918)
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