Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaelyn Carroll, RN, CNM

Individual provider Advanced Practice Midwife · NPI 1003706912

Kaelyn Carroll, RN, CNM is a Certified Nurse Midwife (CNM) in Chicago, Illinois. Graduated from Vanderbilt University School of Medicine in 2024, 2 years ago. Licensed in Illinois.

Years since qualifying
2
Trained at
Vanderbilt University School of Medicine
Licensed in
IL
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

966 W 21st St
Chicago, IL 60608-4511
Phone: (773) 254-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 209033074 (IL)

Record details

NPI number1003706912
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CNM
Sole proprietorNo
NPI enumeratedJuly 3, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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