Individual provider Active NPI

Kimberly Bloomcamp, APN-CNM

  • Advanced Practice Midwife
  • Highland Park, IL
National Provider Identifier
1154547875
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209006104 Issued in IL
Practice address
757 Park Ave W Ste 2800
Highland Park, IL 60035-2557
Phone
(847) 941-7600
Fax
(847) 941-7697
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209006104 IL Primary

Addresses

Primary practice location

757 Park Ave W Ste 2800
Highland Park, IL 60035-2557

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2040

Other practice location 1

2740 W Foster Ave
Chicago, IL 60625-3500
Phone (773) 899-6200

Other identifiers 4

IdentifierTypeStateIssuer
041315130OtherILRN STATE LICENSE
209006104OtherILAPN STATE LICENSE
041315130MedicaidIL
406120022OtherPTAN

Other names 1

  • Miss Kimberly Brandl Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbrandl277047@direct.northshore.org

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
I20071008000448 IL Practitioner - Certified Nurse Midwife (CNM) 2264527167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Suite 2218a
Evanston, IL 60201-1700
Phone (847) 503-4222

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Feb 17, 2021 Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 17, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 21, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 21, 2020 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Jul 19, 2010 Accepting new patients
Swedish Covenant Management Services, Inc. Advanced Practice Midwife Current Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

9532 Eagle Way
Chicago, IL 60678

5140 N California Ave
Ste 635
Chicago, IL 60625
Phone (773) 907-3038

2740 W Foster Ave
Ste LL7
Chicago, IL 60625

2740 W Foster Ave
Chicago, IL 60625
Phone (773) 293-3510

29373 Network Pl
Chicago, IL 60673

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

5140 N California Ave
Ste 635645
Chicago, IL 60625
Phone (773) 989-6200

49 S Waukegan Rd
#100
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

7900 Rollins Rd
Gurnee, IL 60031
Phone (847) 356-3680

7900 Rollins Rd
Lowr
Gurnee, IL 60031

757 Park Ave W
Ste 2800
Highland Park, IL 60035
Phone (847) 432-1558

757 Park Ave W
Highland Park, IL 60035
Phone (847) 480-3800

1329 N Wolf Rd
Mt Prospect, IL 60056
Phone (847) 803-3040

225 N Milwaukee Ave
Vernon Hills, IL 60061
Phone (847) 941-7600

Interoperability endpoints

  • Direct secure messaging: kbloomcamp293671@direct.myadvocateaurora.org
  • Direct secure messaging: kbrandl277047@direct.northshore.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1154547875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-2040",
            "fax_number": "847-733-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 PARK AVE W STE 2800",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352557",
            "telephone_number": "847-941-7600",
            "fax_number": "847-941-7697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 W Foster Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253500",
            "country_code": "US",
            "telephone_number": "773-899-6200",
            "fax_number": "773-293-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOMCAMP",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "APN-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209006104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN STATE LICENSE",
            "identifier": "041315130",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN STATE LICENSE",
            "identifier": "209006104",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041315130",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "406120022",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrandl277047@direct.northshore.org",
            "affiliation": "N",
            "address_1": "5140 N California Ave",
            "address_2": "SUITE 635-645",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BRANDL",
            "prefix": "MISS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.