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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: August 09, 2026.

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

About Kaelyn Carroll Rn, Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAELYN CARROLL RN, CNM (NPI 1003706912) is an individual advanced practice midwife in Chicago, Illinois, licensed in Illinois (209033074) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2024).

NPPES Registry Identity

NPI1003706912
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameKAELYN CARROLLCredential: RN, CNM
Location Address966 W 21ST STChicago, IL 60608-4511
Mailing Address966 W 21st StChicago, IL 60608-4511
Phone(773) 254-1400
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2024
Enumeration DateJuly 3, 2025
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1003706912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in IL · 209033074
Definition
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.
966 W 21ST ST, Chicago, IL 60608
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaelyn Carroll Rn, Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890288302
PECOS Enrollment IDI20260427000711
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORMA B WESTERVELT M.D.
Pediatrics
966 W 21ST ST, ALIVIO MEDICAL CENTER
CHICAGO, IL 60608
Cook County (773) 254-1400
JACQUELINE S MA CNM
Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Cook County (773) 254-1400
ROGER SALAZAR DMD
Dentist (Dental Public Health)
966 W 21ST ST
CHICAGO, IL 60608
Cook County (773) 254-1400
IRMA CORREA NP
Nurse Practitioner (Women's Health)
966 W 21ST ST
CHICAGO, IL 60608
Cook County (773) 254-1400
OLYMPIA FIELDS PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
966 W 21ST ST
CHICAGO, IL 60608
Cook County (312) 226-2266
HILARY MARIE KORABIK APRN, CNM
Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Cook County (312) 497-2478
HAN YU STEPHANIE LIOU MD
Pediatrics
966 W 21ST ST
CHICAGO, IL 60608
Cook County (773) 254-1400
EDWARD KIRSH MD
Urology
966 W 21ST ST
CHICAGO, IL 60608
Cook County (773) 254-1400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaelyn Carroll's NPI number?

The NPI number for Kaelyn Carroll is 1003706912. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Kaelyn Carroll located?

Kaelyn Carroll practices at 966 W 21st St, Chicago, IL 60608. The listed phone number is (773) 254-1400.

What is Kaelyn Carroll's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kaelyn Carroll enrolled in Medicare?

Yes. Kaelyn Carroll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaelyn Carroll was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.