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ADVANCED WOMENS HEALTHCARE SC
NPI 1376890426
Obstetrics & Gynecology in Bloomington, IL

Active since August 08, 2012CLIA 14D2045872 · Microscopy
2111 E OAKLAND AVE, SUITE B, BLOOMINGTON, IL 61701(309) 808-3068(309) 808-3072 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Womens Healthcare Sc NPPES

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

ADVANCED WOMENS HEALTHCARE SC (NPI 1376890426) is a healthcare organization registered as an obstetrics & gynecology in Bloomington, Illinois and active in the NPI registry since August 2012. The organization holds a CLIA Microscopy certificate valid through August 20, 2028 and lists Bamidele A Ogunleye, President, as its authorized official.

NPPES Registry Identity

NPI1376890426
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameADVANCED WOMENS HEALTHCARE SC
Location Address2111 E OAKLAND AVE, SUITE BBloomington, IL 61701-5758
Mailing Address2111 E Oakland Ave, Suite BBloomington, IL 61701-5758 · (309) 531-3012
Phone(309) 808-3068
Fax(309) 808-3072
Organization SubpartNo
Authorized OfficialBamidele A OgunleyePresident · (309) 533-2634
Enumeration DateAugust 8, 2012
Last NPPES UpdateApril 10, 2013
✔ NPI 1376890426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2111 E OAKLAND AVE, Bloomington, IL 61701
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Womens Healthcare Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Advanced Womens Healthcare Sc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Brittany King, APN
Nurse Practitioner
NPI 1427441815
2111 E OAKLAND AVE SUITE B
Bloomington, IL 61701
(309) 808-3068
✔ PECOS✔ Accepts MedicareSame address
Leigh Kowalski, D.O.
Obstetrics/Gynecology
NPI 1427402494
2111 E OAKLAND AVE STE B
Bloomington, IL 61701
(309) 808-3068
✔ PECOS✔ Accepts MedicareSame address
Bamidele Ogunleye, M.D.
Obstetrics/Gynecology
NPI 1831209584
2111 EAST OAKLAND AVE STE B
Bloomington, IL 61701
(309) 808-3068
✔ PECOS✔ Accepts MedicareSame address
Stephanie Rutherford, PT
Physical Therapist in Private Practice
NPI 1588928386
2111 E OAKLAND AVE STE B
Bloomington, IL 61701
(309) 808-3068
✔ Accepts MedicareSame address
Brittany Ziller, APN
Nurse Practitioner
NPI 1528722089
2111 E OAKLAND AVE STE B
Bloomington, IL 61701
(309) 808-3068
✔ PECOS✔ Accepts MedicareSame address
Jacqueline Deffenbaugh, APN, WHNP
Nurse Practitioner
NPI 1174535306
2304 STERN DR
Bloomington, IL 61704
(309) 663-0411
✔ PECOS✔ Accepts Medicare0.7 mi
Lisa Emm, MD
Obstetrics/Gynecology
NPI 1386665966
2304 STERN DR
Bloomington, IL 61704
(309) 663-0411
✔ PECOS✔ Accepts Medicare0.7 mi
Angela Catarinicchia, MD
Obstetrics/Gynecology
NPI 1043659907
1606 PRAIRIE CENTER PKWY STE 350
Brighton, CO 80601
(303) 498-3440
✔ PECOS✔ Accepts Medicare836 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2045872

Advanced Women's Health Care S C · Bloomington, IL
Active · expires Aug 20, 2028
CLIA Number14D2045872
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2026
Certificate Expiration DateAugust 20, 2028
Laboratory DirectorBamidele Ogunleye M D
Laboratory Phone(309) 531-3012
Laboratory LocationAdvanced Women's Health Care S C2111 E Oakland Ave, Ste B, Bloomington, IL 61701
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Advanced Womens Healthcare Sc's NPI number?

The NPI number for Advanced Womens Healthcare Sc is 1376890426. It was assigned to this organization in the NPPES registry on August 8, 2012.

Where is Advanced Womens Healthcare Sc located?

Advanced Womens Healthcare Sc is located at 2111 E Oakland Ave Suite B, Bloomington, IL 61701. The listed phone number is (309) 808-3068.

What is Advanced Womens Healthcare Sc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Advanced Womens Healthcare Sc enrolled in Medicare?

Yes. Advanced Womens Healthcare Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Womens Healthcare Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Advanced Womens Healthcare Sc. A 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 the clinician's services. The largest specialties are Obstetrics/Gynecology (4), Nurse Practitioner (3) and Physical Therapist in Private Practice (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Womens Healthcare Sc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2045872) is associated with this NPI, valid through August 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Womens Healthcare Sc accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Advanced Womens Healthcare Sc 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 Advanced Womens Healthcare Sc was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.