Active NPI
Shannon Ervin, APRN, CNM
- Advanced Practice Midwife
- Hinsdale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209.023730
- Practice address
- 908 N Elm St Ste 303
Hinsdale, IL 60521-3625 - Phone
- (630) 920-1347
- NPI assigned
- Dec 22, 2021
- Last updated
- Nov 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 209.023730 | IL | Primary |
Addresses
Primary practice location
908 N Elm St Ste 303
Hinsdale, IL 60521-3625
Mailing address
908 N Elm St Ste 303
Hinsdale, IL 60521-3625
Phone (630) 920-1347
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.023730 | IL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Partners,Inc | Current | Accepting new patients | |
| Adventist Health Partners, Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Advanced Practice Midwife | Current | Accepting new patients |
| Adventist Health Partners, Inc. | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc | Current | Accepting new patients |
Locations
396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301
5140 N California Ave
Chicago, IL 60625
Phone (773) 275-8811
5140 N California Ave
Ste 605
Chicago, IL 60625
Phone (773) 561-0088
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
908 N Elm St
Ste 303
Hinsdale, IL 60521
Phone (630) 920-1347
Interoperability endpoints
- servin2170322@adventhealth.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- La Grange, IL
- NPI 1932650496
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
dba Swedish Covenant Medical Group
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
Advanced Practice Midwife
-
dba Midwest Bone and Joint Specialists
- Orthopaedic Surgery Physician
- Bolingbrook, IL
- NPI 1225291008
-
dba Glendale Family Practice
- Family Medicine Physician
- Bloomingdale, IL
- NPI 1043255888
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
dba Swedish Emergency Medicine
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1124788898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 N ELM ST STE 303",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213625",
"telephone_number": "630-920-1347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N ELM ST STE 303",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213625",
"telephone_number": "630-920-1347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERVIN",
"first_name": "SHANNON",
"credential": "APRN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-22",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209.023730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.