Active NPI
Michelle Harris, APN, CNM
- Advanced Practice Midwife
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209017243
- Practice address
- 8201 E Riverside Blvd
Rockford, IL 61114-2300 - Phone
- (815) 971-7000
- NPI assigned
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 209017243 | IL | Primary |
Addresses
Primary practice location
8201 E Riverside Blvd
Rockford, IL 61114-2300
Mailing address
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181208000207 | IL | Practitioner - Certified Nurse Midwife (CNM) | 3870837446 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- University of Cincinnati College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
621 Roxbury Rd
Rockford, IL 61107-5077
Phone (815) 397-3350
Hospital & facility affiliations
- Osf Saint Katharine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RMH Pathologists, LTD | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Saint Anthony Medical Center | Past | Accepting new patients | |
| Cardinal Medical Group, LTD. | Past | Accepting new patients |
Locations
7702 Solution Ctr
Chicago, IL 60677
7736 Solution Ctr
Chicago, IL 60677
1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261
215 E 1st St
Ste 215
Dixon, IL 61021
Phone (815) 285-5420
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
621 Roxbury Rd
Rockford, IL 61107
Phone (815) 226-1172
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
1221 E State St
Rockford, IL 61104
Phone (815) 972-1000
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Rockford, IL
- NPI 1306486022
IL
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1669493466
IL
-
- Anatomic Pathology Physician
- Rockford, IL
- NPI 1184671992
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Multi-Specialty Clinic/Center
- Peoria, IL
- NPI 1992829485
-
- Family Medicine Physician
- Rockford, IL
- NPI 1891741021
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": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1477038743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611142300",
"telephone_number": "815-971-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611142300",
"telephone_number": "815-971-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MICHELLE",
"credential": "APN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209017243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.