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

Kristin Marie Mortensen-Ward, CPM, LMCPM, LCPM

Individual provider Lay Midwife · NPI 1396469730

Kristin Marie Mortensen-Ward, CPM, LMCPM, LCPM is a Lay Midwife in Fulton, Illinois. Practices as a sole proprietor. Licensed in Illinois and Wisconsin.

Licensed in
IL, WI
In the registry since
2022
Specialties on file
4

Practice location Address checks out

14100 Kennedy Rd
Fulton, IL 61252-9619
Phone: (309) 507-2420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence 295.000022 (IL)
Lay Midwife Taxonomy 175M00000X
Midwife Taxonomy 176B00000X · Licence 528-49 (WI)
Midwife Taxonomy 176B00000X · Licence CPM0003 (IL)

Record details

NPI number1396469730
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPM , LMCPM , LCPM
Sole proprietorYes
NPI enumeratedSeptember 29, 2022
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025