Amy Elizabeth Willen, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

209.006855 Issued in IL

Practice address

715 Lake St
Suite 273
Oak Park, IL 60301-1422

Phone

(708) 848-3800

Fax

(708) 848-0008

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awillen734592@direct.ochin.org
• Direct secure messaging: amy.willen.1@13158.direct.athenahealth.com

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.

• Erie Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1760499545
  Medicare reassignment NPD
• PCC Community Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Oak Park, IL
  • NPI 1871516799
  Medicare reassignment
• Erie Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1548062318
  NPD
• Erie Family Health Center Inc.

  dba Erie Clemente Wildcats Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1144461385
  NPD
• PCC Community Wellness Center

  dba PCC Austin Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1609892223
  NPD (past)
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336867200000",
    "number": "1194887356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 W PIERCE AVE",
            "address_2": "#2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512454",
            "telephone_number": "713-569-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST",
            "address_2": "SUITE 273",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011422",
            "telephone_number": "708-848-3800",
            "fax_number": "708-848-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEN",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "712808",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.006855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175342802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Wilkes
• Katherine M Wilkie, MS, CCC-SLP
• Maia Monye Wilkins
• Dymond Wilks, RBT
• Kristin Willard, MOT
• Mallory Willenbring, M.S., DT
• Arielle Willett, ATC, ITAT
• William E.P. McMiller, MD & Associates LLC (Dr. Bill s Learning Centers)
• William H. Egan M.D.,S.C.
• William Piccione MD LLC

• Advanced Practice Midwife in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2012; 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.

Verify at the official NPI Registry.