Individual provider Active NPI

Alisha M Wesley, MSN, CNM, APRN

  • Advanced Practice Midwife
  • Sycamore, IL
National Provider Identifier
1649810987
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209.020680 Issued in IL
Practice address
1675 Bethany Rd Ste C
Sycamore, IL 60178-3160
Phone
(815) 899-8080
Fax
(815) 899-8002
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 209.020680 IL Primary

Addresses

Primary practice location

1675 Bethany Rd Ste C
Sycamore, IL 60178-3160

Mailing address

1675 Bethany Rd Ste C
Sycamore, IL 60178-3160
Phone (815) 899-8080

Other practice location 1

375 N Wall St Ste P410
Kankakee, IL 60901-3491
Phone (815) 932-7474

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL westwoodOBGYN 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
I20200217004833 IL Practitioner - Certified Nurse Midwife (CNM) 2668809419 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
209.020680ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Women Services LLC CurrentSince Dec 16, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 1, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 1, 2024 Accepting new patients
Prairie Point Obstetrics and Gynecology LTD CurrentSince Jul 22, 2024 Accepting new patients
Northwest Community Healthcare Past Accepting new patients

Locations

1051 W Rand Rd
Fl 1
Arlington Heights, IL 60004
Phone (847) 618-9292

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1051 W Rand Rd
Ste 101
Arlington Hts, IL 60004
Phone (847) 212-3885

29651 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

1675 Bethany Rd
Ste C
Sycamore, IL 60178
Phone (815) 766-7021

Interoperability endpoints

  • FHIR API: https://epicprdproxy.nch.org/prd-fhir/api/FHIR/R4
  • Direct secure messaging: alisha.wesley.p1@direct.gefcc.nextgenshare.com

Organizations & group practices 5

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1649810987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 BETHANY RD STE C",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783160",
            "telephone_number": "815-899-8080",
            "fax_number": "815-899-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 BETHANY RD STE C",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783160",
            "telephone_number": "815-899-8080",
            "fax_number": "815-899-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 N Wall St Ste P410",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609013491",
            "country_code": "US",
            "telephone_number": "815-932-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "ALISHA",
        "middle_name": "M",
        "credential": "MSN, CNM, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.020680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "westwoodOBGYN",
            "affiliation": "N",
            "endpointDescription": "primary office location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "375 N Wall St Ste P410",
            "city": "Kankakee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609013491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.