KAELYN CARROLL RN, CNM
NPI 1003706912
Advanced Practice Midwife in Chicago, IL

Active since July 03, 2025PECOS Enrolled
966 W 21ST ST, CHICAGO, IL 60608(773) 254-1400 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Jul 3, 2025 (2 updates tracked since 2025).

  • Individual
  • Female
  • Years of Experience 3
  • Advanced Practice Midwife
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About KAELYN CARROLL

This page provides the complete NPI Profile along with additional information for Kaelyn Carroll, a provider established in Chicago, Illinois with a medical specialization in Advanced Practice Midwife and more than 3 years of experience. She graduated from Vanderbilt University School Of Medicine in 2024. The healthcare provider is registered in the NPI registry with number 1003706912 assigned on July 2025. The practitioner's primary taxonomy code is 367A00000X with license number 209033074 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1003706912 Verify this NPI
Provider Name
KAELYN CARROLL RN, CNM
Gender
Female
Entity Type
Individual
Location Address
966 W 21ST ST CHICAGO, IL 60608
Location Phone
(773) 254-1400
Mailing Address
966 W 21ST ST CHICAGO, IL 60608
Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2024
Is Sole Proprietor?
No
Enumeration Date
07-03-2025
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Advanced Practice Midwife

Taxonomy Code
367A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
209033074
License State
IL
Taxonomy Description
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Medicare Participation & PECOS Enrollment Status

Kaelyn Carroll is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Kaelyn Carroll is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5890288302

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20260427000711

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60608 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.06
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $23.51
  • Minimum New Patient Copayment $15.02
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.8
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $18.7
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for KAELYN CARROLL RN, CNM

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Pediatrics
966 W 21ST ST, ALIVIO MEDICAL CENTER
CHICAGO, IL 60608
Nurse Practitioner (Pediatrics)
966 W 21ST ST
CHICAGO, IL 60608
Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Nurse Practitioner (Family)
966 W 21ST ST
CHICAGO, IL 60608
Internal Medicine
966 W 21ST ST
CHICAGO, IL 60608
Pharmacy (Community/Retail Pharmacy)
966 W 21ST ST
CHICAGO, IL 60608
Pediatrics
966 W 21ST ST
CHICAGO, IL 60608
Counselor (Professional)
966 W 21ST ST
CHICAGO, IL 60608
Psychiatry & Neurology (Psychiatry)
966 W 21ST ST
CHICAGO, IL 60608
Urology
966 W 21ST ST
CHICAGO, IL 60608
Clinic/Center (Federally Qualified Health Center (FQHC))
966 W 21ST ST
CHICAGO, IL 60608
Nurse Practitioner (Women's Health)
966 W 21ST ST
CHICAGO, IL 60608
Health Educator
966 W 21ST ST
CHICAGO, IL 60608
Health Educator
966 W 21ST ST
CHICAGO, IL 60608
Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Pediatrics
966 W 21ST ST
CHICAGO, IL 60608

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003706912, enumerated as an "individual" on July 03, 2025.

The provider is located at 966 W 21ST ST CHICAGO, IL 60608 and the phone number is (773) 254-1400.

Advanced Practice Midwife with taxonomy code 367A00000X.