Active NPI
Penelope Jane Schmicker, CNM
- Midwife
- Oak Park, IL
National Provider Identifier
1598763419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 04460
- Practice address
- 6030 Roosevelt Rd
Oak Park, IL 60304-2375 - Phone
- (708) 386-0845
- Fax
- (708) 386-8472
- NPI assigned
- Jul 13, 2005
- Last updated
- Sep 26, 2008
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 04460 | OH | Primary |
Addresses
Primary practice location
6030 Roosevelt Rd
Oak Park, IL 60304-2375
Mailing address
2055 W Army Trail Rd
Suite 104
Addison, IL 60101-1478
Phone (630) 705-1010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75541 | Other | OH | UNSPECIFIED |
| 2075409 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04460 | OH | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC Community Wellness Center | Past | Accepting new patients | |
| West Suburban Hospital Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba PCC Austin Dental & Specialty Care Center
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1134954506
-
dba West Suburban Skilled Nursing Unit
- Skilled Nursing Facility
- Oak Park, IL
- NPI 1538206974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1598763419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 W ARMY TRAIL RD",
"address_2": "SUITE 104",
"city": "ADDISON",
"state": "IL",
"postal_code": "601011478",
"telephone_number": "630-705-1010",
"fax_number": "630-705-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6030 ROOSEVELT RD",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603042375",
"telephone_number": "708-386-0845",
"fax_number": "708-386-8472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMICKER",
"first_name": "PENELOPE",
"middle_name": "JANE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "OH",
"license": "04460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNSPECIFIED",
"identifier": "75541",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2075409",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.