Isabelle Lilly Chernyavsky
Individual provider Active NPI Midwife · Corcoran, MN
NPI 1003759853 · NPPES record last updated Apr 14, 2026
Key facts
- NPI
- 1003759853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 1118 (MN)
- Practice address
- 6511 Elm St
Corcoran, MN 55340-9347 - Phone
- (763) 545-1150
- NPI assigned
- Apr 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1118 | MN | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | 1118 | MN | Yes |
Addresses
Primary practice location
6511 Elm St
Corcoran, MN 55340-9347
Mailing address
6511 Elm St
Corcoran, MN 55340-9347
Other providers in Corcoran, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.