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

Q: 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.

Q: What is Channon Campbell's specialty?

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

Q: 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 3 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.

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: October 25, 2026.

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

On this page

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

Phone(773) 254-1400

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

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Secondary Practice Location 1

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

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 (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.

Medicare Billing Reassignments

Medicare enrollment records show Channon Campbell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alivio Medical Center, Inc.

Same address

Federally Qualified Health Center (FQHC)

966 W. 21ST STREET
Chicago, IL 60608

Reassigned Medicare billing, Illinois enrollment
39 clinicians in this Medicare group

NPI 1073617387 (773) 254-1400

The Board Of Trustees Of The University Of Illinois

1.3 mi

Federally Qualified Health Center (FQHC)

1220 S. WOOD STREET, UIH-MILE SQUARE HEALTH CENTER
Chicago, IL 60608

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1154541936 (Illinois)
113 clinicians in this Medicare group

NPI 1669493466 (312) 413-1261

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 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.

KAELYN CARROLL RN, CNM

Advanced Practice Midwife

966 W 21ST ST
CHICAGO, IL 60608

Cook County (773) 254-1400

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

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.

Which organizations bill Medicare for Channon Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Channon Campbell reassigns Medicare benefits to 2 organizations: Alivio Medical Center, Inc. (Chicago, IL) and The Board Of Trustees Of The University Of Illinois (Chicago, IL). Each 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 Channon Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Channon Campbell accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Channon Campbell 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 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 3 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.