NPPES file of Aug 9, 2026

Charlesetta Wallace, APRN, CNM

Advanced Practice Midwife · Bloomington, IL

Charlesetta Wallace, APRN, CNM is an advanced practice midwife with a practice address in Bloomington, Illinois, and NPI 1114896032, issued on Oct 30, 2025. Check the license (Illinois 209033647, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1114896032
Name
Charlesetta Wallace
Credential
APRN, CNM
Primary taxonomy
Advanced Practice Midwife 367A00000X
License number
209033647 IL
Self-reported in NPPES; status is on the state search
Practice location
2111 E Oakland Ave Ste B, Bloomington, IL 61701
Phone
(309) 808-3068
Enumerated
Oct 30, 2025
Record last updated
Oct 30, 2025
Medicare enrollment
Enrolled (PECOS I20251230000662); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2111 E Oakland Ave Ste B

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Bethany Bradley, CNMAdvanced Practice Midwife1235022542
  2. Lauren HeidenreichAdvanced Practice Midwife1073490652
  3. Michaela KaneAdvanced Practice Midwife1205651825
  4. Leigh Ann Kowalski, D.O.Obstetrics & Gynecology Physician1427402494
  5. Stephanie Rutherford, PTPhysical Therapist1588928386
  6. Brittany Ziller, APNNurse Practitioner1528722089

Verify Charlesetta Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 209033647    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Advanced Practice Midwife providers in Illinois

There are 494 advanced practice midwife records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 494 in Illinois → Every provider in Bloomington →

Other advanced practice midwife records in Illinois

  1. Marisa Abbinanti, APRN, CNMLake Forest, IL1841988748
  2. Whitney Abbott, APN-CNMHighland Park, IL1427311935
  3. Rashidah Abdullah, CNM, RN, CBC, CLCChicago, IL1043774763
  4. Tracy AbrahamChicago, IL1023191269
  5. Lisa Abu-Samra, CNMOrland Park, IL1215479621
  6. Kirby AdlamChicago, IL1326338971
  7. Hayfaa Aldasoqi, APN-CNMChicago, IL1154552198
  8. Hana Aleshnic, MSN, CNM, FNPChicago, IL1194398206
  9. Wendy Allen, CNMLake Forest, IL1629161369
  10. Brigid Andrew, CNM, RNChicago, IL1851482673

Common questions

What is Charlesetta Wallace, APRN, CNM's NPI number?

Charlesetta Wallace, APRN, CNM's National Provider Identifier (NPI) is 1114896032, issued on Oct 30, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Charlesetta Wallace, APRN, CNM located?

The NPPES record lists a practice address at 2111 E Oakland Ave Ste B, Bloomington, IL, 61701. Phone: (309) 808-3068. Providers update this record themselves, so call before visiting.

How can I verify Charlesetta Wallace, APRN, CNM's license?

NPPES lists Illinois license number 209033647, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.