Individual provider Active NPI

Rachael Wernsman, CNM

  • Advanced Practice Midwife
  • Carbondale, IL
National Provider Identifier
1417590639
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
101 S Wall St
Carbondale, IL 62901-3021
Phone
(618) 519-9200
Fax
(618) 519-9961
NPI assigned
Oct 21, 2019
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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 IL Primary

Addresses

Primary practice location

101 S Wall St
Carbondale, IL 62901-3021

Mailing address

109 California St
PO Box 577
Carterville, IL 62918-0577
Phone (618) 519-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachael.wernsman.1@14668.direct.athenahealth.com Direct

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
I20191031002403 IL Practitioner - Certified Nurse Midwife (CNM) 9133451743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 S Wall St
Carbondale, IL 62901-3021
Phone (618) 519-9200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp CurrentSince Jul 6, 2020 Accepting new patients
Shawnee Health Service and Development Corp Current Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Jul 6, 2020 Accepting new patients
Rural Health, Inc. CurrentSince Oct 7, 2020 Accepting new patients
Rural Health, Inc. CurrentSince Oct 7, 2020 Accepting new patients
Shawnee Health Service and Development Corp Past Accepting new patients
Rural Health, Inc. Past Accepting new patients
Shawnee Health Service and Development Corp Past Accepting new patients
Heartland Women's Healthcare Il PC Past Accepting new patients

Locations

513 N Main St
Anna, IL 62906
Phone (618) 833-4471

101 S Wall St
Carbondale, IL 62901
Phone (618) 529-0991

1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841

109 California St
Carterville, IL 62918
Phone (618) 985-8221

1506 Sioux Dr
Marion, IL 62959
Phone (618) 997-5270

Interoperability endpoints

  • Direct secure messaging: rachael.wernsman.1@14668.direct.athenahealth.com
  • Direct secure messaging: rachael.wernsman.1@7601.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1417590639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA ST",
            "address_2": "PO BOX 577",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180577",
            "telephone_number": "618-519-9200",
            "fax_number": "618-985-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WALL ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013021",
            "telephone_number": "618-519-9200",
            "fax_number": "618-519-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNSMAN",
        "first_name": "RACHAEL",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachael.wernsman.1@14668.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 S Wall St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629013021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.