Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHANNON MICHELLE LEE CAMPBELL CNM, MSN, RN, MPH
NPI 1831997360
Advanced Practice Midwife in Chicago, IL

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

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 24, 2026, Jun 25, 2025, Mar 3, 2025 (3 updates tracked since 2025).

About Channon Michelle Lee Campbell Cnm, Msn, Rn, Mph NPPES

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

CHANNON MICHELLE LEE CAMPBELL CNM, MSN, RN, MPH (NPI 1831997360) is an individual advanced practice midwife in Chicago, Illinois, licensed in Illinois (209032600) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1831997360
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameCHANNON MICHELLE LEE CAMPBELLCredential: CNM, MSN, RN, MPH
Location Address966 W 21ST STChicago, IL 60608-4511
Mailing Address1595 Atwater St Apt 102Detroit, MI 48207-4075 · (616) 745-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 3, 2025
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1831997360 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
Licenses Licensed in IL · 209032600 Licensed in MI · 4704357340
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

Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Channon Michelle Lee Campbell Cnm, Msn, Rn, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850897075
PECOS Enrollment IDI20251006001403
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.

Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Pediatrics
966 W 21ST ST, ALIVIO MEDICAL CENTER
CHICAGO, IL 60608
Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Dentist (Dental Public Health)
966 W 21ST ST
CHICAGO, IL 60608
Nurse Practitioner (Women's Health)
966 W 21ST ST
CHICAGO, IL 60608
Pharmacy (Community/Retail Pharmacy)
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 NPPES & CMS

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

What is Channon Campbell's NPI number?

The NPI number for Channon Campbell is 1831997360. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Channon Campbell located?

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

What is Channon Campbell's specialty?

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

Is Channon Campbell enrolled in Medicare?

Yes. Channon Campbell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Channon Campbell was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.