MICHELLE RENEE DORMANEN CNM
NPI 1255814679
Advanced Practice Midwife in Chicago, IL

Active since September 11, 2018PECOS Enrolled
80.83/100
CMS Quality Rating
2653 W OGDEN AVE, CHICAGO, IL 60608(773) 257-6508 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2022, Nov 13, 2018, Sep 11, 2018 (3 updates tracked since 2018).

About Michelle Renee Dormanen Cnm NPPES

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

MICHELLE RENEE DORMANEN CNM (NPI 1255814679) is an individual advanced practice midwife in Chicago, Illinois, licensed in (CNM04289) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255814679
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMICHELLE RENEE DORMANENCredential: CNM
Location Address2653 W OGDEN AVEChicago, IL 60608
Mailing Address1500 S. Fairfield AveChicago, IL 60608 · (737) 257-6691
Sole ProprietorNo
Enumeration DateSeptember 11, 2018
Last NPPES UpdateMarch 11, 20223 updates tracked since enumeration
NPPES CertifiedMarch 11, 2022
NPI 1255814679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed · CNM04289
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.
Also ListedRegistered Nurse · Obstetric, InpatientTaxonomy 163WX0003X · License 041.431303 (IL)
2653 W OGDEN AVE, Chicago, IL 60608

Other Names 1

Former Name (1)Michelle Renee Sorensen

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michelle Renee Dormanen Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

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.

Dietitian, Registered
2653 W OGDEN AVE
CHICAGO, IL 60608
Clinic/Center (Multi-Specialty)
2653 W OGDEN AVE, 3RD FLOOR SUITE A
CHICAGO, IL 60608
Dietitian, Registered
2653 W OGDEN AVE
CHICAGO, IL 60608
Family Medicine
2653 W OGDEN AVE
CHICAGO, IL 60608
Dietitian, Registered
2653 W OGDEN AVE, SUITE 3A
CHICAGO, IL 60608
Obstetrics & Gynecology
2653 W OGDEN AVE, SUITE 3B
CHICAGO, IL 60608
Social Worker (Clinical)
2653 W OGDEN AVE, 2ND FLOOR
CHICAGO, IL 60608
Dietitian, Registered
2653 W OGDEN AVE
CHICAGO, IL 60608

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 Michelle Dormanen's NPI number?

The NPI number for Michelle Dormanen is 1255814679. It was assigned to this individual provider in the NPPES registry on September 11, 2018. The provider is also known as Michelle Renee Sorensen.

Where is Michelle Dormanen located?

Michelle Dormanen practices at 2653 W Ogden Ave, Chicago, IL 60608. The listed phone number is (773) 257-6508.

What is Michelle Dormanen's specialty?

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

Is Michelle Dormanen enrolled in Medicare?

Yes. Michelle Dormanen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Dormanen was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.