Individual provider Active NPI

Tina Cathelyn, CNM

  • Midwife
  • Moline, IL
National Provider Identifier
1790159515
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
209-013475 Issued in IL
Practice address
1106 4TH Ave
Moline, IL 61265-1231
Phone
(563) 336-3000
Fax
(563) 327-2045
NPI assigned
Nov 17, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 209-013475 IL Primary

Addresses

Primary practice location

1106 4TH Ave
Moline, IL 61265-1231

Mailing address

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidIL
PENDINGMedicaidIA

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
I20151217002762 IL Practitioner - Certified Nurse Midwife (CNM) 0042511925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4300 7TH St
Moline, IL 61265-6866
Phone (309) 762-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.74 of 100Reported as group
Quality
78.19
Promoting interoperability
0
Improvement activities
40
Cost
80.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-013475ILMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jul 7, 2025 Accepting new patients
Medical Arts Associates, LTD. CurrentSince Dec 1, 2021 Accepting new patients

Locations

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

4300 7th St
Moline, IL 61265
Phone (309) 762-9800

600 John Deere Rd
Ste 200
Moline, IL 61265
Phone (309) 779-4200

Interoperability endpoints

  • Direct secure messaging: tcathelyn106487@direct.unitypoint.org

Organizations & group practices 3

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.

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": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1790159515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W RIVER DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011014",
            "telephone_number": "563-336-3000",
            "fax_number": "563-327-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 4TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651231",
            "telephone_number": "563-336-3000",
            "fax_number": "563-327-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATHELYN",
        "first_name": "TINA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "IL",
            "license": "209-013475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.