Individual provider Active NPI

Paula Lynn Hertz, CNM

  • Advanced Practice Midwife
  • Joliet, IL
National Provider Identifier
1003611344
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209031820 Issued in IL
Practice address
301 Madison St Ste 120
Joliet, IL 60435-6652
Phone
(815) 725-2699
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X IL
Advanced Practice Midwife 367A00000X 209031820 IL Primary
Midwife 176B00000X 209.031820 IL

Addresses

Primary practice location

301 Madison St Ste 120
Joliet, IL 60435-6652

Mailing address

555 W Court St Ste 406
Kankakee, IL 60901-3675
Phone (815) 932-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925001671 IL Practitioner - Certified Nurse Midwife (CNM) 7810492394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1405 W Park St
Suite 302
Urbana, IL 61801-2344
Phone (217) 337-3351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209.031820ILMDMidwife
209031820ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Oct 15, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients

Locations

2111 E Oakland Ave
Ste B
Bloomington, IL 61701
Phone (309) 531-3012

602 Woodlawn Rd
Lincoln, IL 62656
Phone (217) 651-8270

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

2500 W Reynolds St
Ste 207203205206
Pontiac, IL 61764

1405 W Park St
Ste 302
Urbana, IL 61801
Phone (217) 337-2010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBAHCA/Endpoint/BBAHCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1003611344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W COURT ST STE 406",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013675",
            "telephone_number": "815-932-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MADISON ST STE 120",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356652",
            "telephone_number": "815-725-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZ",
        "first_name": "PAULA",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209031820",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "IL",
            "license": "209.031820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.