Individual provider Active NPI

Aimee P Clark, MS, APRN, CNM

  • Advanced Practice Midwife
  • Chicago, IL
National Provider Identifier
1184993552
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
680 N Lake Shore Dr Ste 815
Chicago, IL 60611-4449
Phone
(312) 926-8811
Fax
(312) 926-8855
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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 Primary

Addresses

Primary practice location

680 N Lake Shore Dr Ste 815
Chicago, IL 60611-4449

Mailing address

680 N Lake Shore Dr Ste 815
Chicago, IL 60611-4449
Phone (312) 926-8811

Other practice location 1

1820 W Farwell Ave
Chicago, IL 60626
Phone (312) 533-0038

Other practice location 2

1820 W Farwell Ave
Chicago, IL 60626
Phone (312) 533-0038

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
I20180918002699 IL Practitioner - Certified Nurse Midwife (CNM) 5496006215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

680 N Lake Shore Dr
Suite 810
Chicago, IL 60611-8700
Phone (312) 926-6146

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Oct 8, 2018 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 8, 2018 Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Northwestern Memorial Physicians Group Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

680 N Lake Shore Dr
Ste 810
Chicago, IL 60611
Phone (312) 926-8811

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

680 N Lake Shore Dr
Ste 815
Chicago, IL 60611
Phone (312) 926-6338

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 4

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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1184993552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 815",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114449",
            "telephone_number": "312-926-8811",
            "fax_number": "312-926-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 815",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114449",
            "telephone_number": "312-926-8811",
            "fax_number": "312-926-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 W Farwell Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60626",
            "country_code": "US",
            "telephone_number": "312-533-0038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1820 W Farwell Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60626",
            "country_code": "US",
            "telephone_number": "312-533-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AIMEE",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "MS, APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.