Individual provider Active NPI

Carla C Mistro, CNM

  • Midwife
  • New Lenox, IL
National Provider Identifier
1265314579
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
209.032768 Issued in IL
Practice address
1890 Silver Cross Blvd Ste 210
New Lenox, IL 60451-9626
Phone
(815) 463-3000
Fax
(815) 463-3013
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 209.032768 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd Ste 210
New Lenox, IL 60451-9626

Mailing address

1890 Silver Cross Blvd Ste 210
New Lenox, IL 60451-9626
Phone (815) 463-3000

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015000914 IL Practitioner - Obstetrics/Gynecology 2062909831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Obstetrics and Womens HealthGroup PAC ID 2365402641, 11 clinicians

Practice addresses (Care Compare)

1890 Silver Cross Blvd
Suite 210
New Lenox, IL 60451-9626
Phone (815) 463-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.032768ILMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Obstetrics & Womens Health Single Specialty CurrentSince Aug 11, 2025 Accepting new patients

Locations

1890 Silver Cross Blvd
Ste 210
New Lenox, IL 60451
Phone (815) 463-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEFBDA

Organizations & group practices 1

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": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1265314579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 210",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519626",
            "telephone_number": "815-463-3000",
            "fax_number": "815-463-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 210",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519626",
            "telephone_number": "815-463-3000",
            "fax_number": "815-463-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRO",
        "first_name": "CARLA",
        "middle_name": "C",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "IL",
            "license": "209.032768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.