Kaelyn Carroll, RN, CNM - Medicare Certified Nurse Midwife (cnm) in Chicago, IL

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Kaelyn Carroll, RN, CNM is a medicare enrolled "Advanced Practice Midwife" in Chicago, Illinois. She went to Vanderbilt University School Of Medicine and graduated in 2024 and has 2 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). Her current practice location is 966 W 21st St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 254-1400.

Kaelyn Carroll is licensed to practice in Illinois (license number 209033074) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1003706912.

Contact Information

Kaelyn Carroll, RN, CNM
966 W 21st St,
Chicago, IL 60608-4511
(773) 254-1400
Not Available

Map and Direction




Provider's Profile

Full NameKaelyn Carroll
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience2 Years
Location966 W 21st St, Chicago, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kaelyn Carroll attended and graduated from Vanderbilt University School Of Medicine in 2024
  NPI Data:
  • NPI Number: 1003706912
  • Provider Enumeration Date: 07/03/2025
  • Last Update Date: 09/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5890288302
  • Enrollment ID: I20260427000711

Medical Identifiers

Medical identifiers for Kaelyn Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003706912NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 209033074 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kaelyn Carroll allows following entities to bill medicare on her behalf.
Entity NameAlivio Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073617387
PECOS PAC ID: 5698840924
Enrollment ID: O20081114000791

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaelyn Carroll is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kaelyn Carroll, RN, CNM
966 W 21st St,
Chicago, IL 60608-4511

Ph: Not Available		Kaelyn Carroll, RN, CNM
966 W 21st St,
Chicago, IL 60608-4511

Ph: (773) 254-1400

Reviews and Comments


Advanced Practice Midwife Nurses in Chicago, IL

Jacqueline S Ma, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 966 W 21st St, Chicago, IL 60608
Phone: 773-254-1400    Fax: 312-829-6375
Tracy A Abraham,
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1220 S Wood St, Chicago, IL 60608
Phone: 312-996-2000    Fax: 312-413-2026
Christina Volkening, MSN, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2233 W Division St, Chicago, IL 60622
Phone: 312-770-2000    
Jayme Lea Henderson, DNP, APRN, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2875 W 19th St, Chicago, IL 60623
Phone: 773-484-4030    
Mallory Marie Klocke, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 17 N State St Ste 500, Chicago, IL 60602
Phone: 712-210-2717    
Rebecca Etrenne, APN
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 219 W Chicago Ave, Chicago, IL 60654
Phone: 312-878-1945    
Kamila Stoksik, DNP
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 250 E Superior St, Chicago, IL 60611
Phone: 312-472-2900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.