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TARA JANE DETHMERS APRN, CNM
NPI 1871049635
Advanced Practice Midwife in Chicago, IL

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment
680 N LAKE SHORE DR STE 815, CHICAGO, IL 60611(312) 926-5521(312) 926-8855 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2024, Mar 30, 2021, Aug 31, 2016 (3 updates tracked since 2016).

About Tara Jane Dethmers Aprn, Cnm NPPES

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

TARA JANE DETHMERS APRN, CNM (NPI 1871049635) is an individual advanced practice midwife in Chicago, Illinois, licensed in Illinois (209014778) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Hinsdale.

NPPES Registry Identity

NPI1871049635
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameTARA JANE DETHMERSCredential: APRN, CNM
Location Address680 N LAKE SHORE DR STE 815Chicago, IL 60611-4449
Mailing Address680 N Lake Shore Dr Ste 815Chicago, IL 60611-4449 · (312) 926-5521 · Fax (312) 926-8855
Phone(312) 926-5521
Fax(312) 926-8855
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 31, 2016
Last NPPES UpdateJuly 12, 20243 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1871049635 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 · 209014778
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.
680 N LAKE SHORE DR STE 815, Chicago, IL 60611
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Secondary Practice Location 1

Location 1908 N Elm St Ste 303Hinsdale, IL 60521-3625 · Phone (630) 920-1347

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

Tara Jane Dethmers Aprn, Cnm 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 ID1951728567
PECOS Enrollment IDI20200827002772
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 Tara Dethmers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwestern Medical Faculty Foundation
35 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AIMEE P CLARK MS, APRN, CNM
Advanced Practice Midwife
680 N LAKE SHORE DR STE 815
CHICAGO, IL 60611
Cook County (312) 926-8811
LIA E MOSS APRN, CNM
Advanced Practice Midwife
680 N LAKE SHORE DR STE 815
CHICAGO, IL 60611
Cook County (312) 926-8811

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 Tara Dethmers's NPI number?

The NPI number for Tara Dethmers is 1871049635. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Tara Dethmers located?

Tara Dethmers practices at 680 N Lake Shore Dr Ste 815, Chicago, IL 60611. The listed phone number is (312) 926-5521.

What is Tara Dethmers's specialty?

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

Is Tara Dethmers enrolled in Medicare?

Yes. Tara Dethmers 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 Tara Dethmers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Dethmers reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, 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 Tara Dethmers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tara Dethmers affiliated with any hospitals?

According to CMS data, Tara Dethmers is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tara Dethmers was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.