Individual provider Active NPI

Tasha Meyer, CNM

  • Advanced Practice Midwife
  • Centralia, IL
National Provider Identifier
1851849673
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
041354433 Issued in IL
Practice address
732 Walnut Hill Rd
Centralia, IL 62801-4980
Phone
(618) 322-4418
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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 041354433 IL Primary

Addresses

Primary practice location

732 Walnut Hill Rd
Centralia, IL 62801-4980

Mailing address

732 Walnut Hill Rd
Centralia, IL 62801-4980
Phone (618) 322-4418

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
I20180815003940 IL Practitioner - Certified Nurse Midwife (CNM) 6800145376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Center for Women'S Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

9447 Holy Cross LN
Breese, IL 62230-3510
Phone (618) 526-2209

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Breese, IL, CCN 140145
  • Salem Township Hospital Hospital, Salem, IL, CCN 141345
  • SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041354433ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Obstetric & Gyneco Associates CurrentSince Jan 29, 2019 Accepting new patients
Southern Obstetric & Gyneco Associates Current Accepting new patients
Midwest Center for Women'S Health Care, LTD. CurrentSince Jan 15, 2025 Accepting new patients
Inspire Wellness LLC PastSince Jan 12, 2025 Accepting new patients

Locations

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

9447 Holy Cross Ln
Breese, IL 62230
Phone (618) 526-2209

700 S Dewey St
Greenville, IL 62246
Phone (618) 526-2209

100 Woodcrest Dr
Highland, IL 62249
Phone (618) 526-2209

110 Woodcrest Dr
Highland, IL 62249
Phone (618) 651-0535

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

Interoperability endpoints

  • Direct secure messaging: tasha.meyer.1@21117.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1851849673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 WALNUT HILL RD",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628014980",
            "telephone_number": "618-322-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 WALNUT HILL RD",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628014980",
            "telephone_number": "618-322-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "TASHA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "041354433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, IL

Sources for this page

Verify at the official NPI Registry.