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KATHERINE E HEROLD APN
NPI 1215283197
Advanced Practice Midwife in Berwyn, IL

Active since July 30, 2012PECOS EnrolledAccepts Medicare Assignment
6201 ROOSEVELT RD, BERWYN, IL 60402(708) 386-0845(708) 386-8472 Get Directions Write a Review

NPPES record last updated: December 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katherine E Herold Apn NPPES

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

KATHERINE E HEROLD APN (NPI 1215283197) is an individual advanced practice midwife in Berwyn, Illinois, licensed in Illinois (209009237) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2011).

NPPES Registry Identity

NPI1215283197
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameKATHERINE E HEROLDCredential: APN
Location Address6201 ROOSEVELT RDBerwyn, IL 60402-1108
Mailing Address6201 Roosevelt RdBerwyn, IL 60402-1108 · (708) 386-0845 · Fax (708) 386-8472
Phone(708) 386-0845
Fax(708) 386-8472
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2011
Enumeration DateJuly 30, 2012
Last NPPES UpdateDecember 24, 2019
✔ NPI 1215283197 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 · 209009237
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.
6201 ROOSEVELT RD, Berwyn, IL 60402
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine E Herold Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709030141
PECOS Enrollment IDI20130212000076
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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Herold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pcc Community Wellness Center
1.6 mi
Federally Qualified Health Center (FQHC)
14 LAKE ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 221 clinicians in this Medicare group
NPI 1871516799 (708) 383-0113

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 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.

DAMARIS VELAZQUEZ LCSW
Social Worker (Clinical)
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
MARY SOMMERS CNM
Midwife
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
LESLEY KENNEDY
Doula
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
CHANDRA A MATTESON NP-C
Nurse Practitioner (Family)
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
RACHEL JEAN BERNARDO DO
Family Medicine
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (773) 295-3500
RIKKI GRIEVES RN
Registered Nurse
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
CANDICE SHERLOCK RDH
Dental Hygienist
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
ELIZABETH ANNE DOWELL MD
Family Medicine
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845

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 Katherine Herold's NPI number?

The NPI number for Katherine Herold is 1215283197. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Where is Katherine Herold located?

Katherine Herold practices at 6201 Roosevelt Rd, Berwyn, IL 60402. The listed phone number is (708) 386-0845.

What is Katherine Herold's specialty?

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

Is Katherine Herold enrolled in Medicare?

Yes. Katherine Herold is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katherine Herold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Herold reassigns Medicare benefits to Pcc Community Wellness Center (Oak Park, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Herold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Herold accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Katherine Herold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Herold was last updated on December 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.