Individual provider Active NPI

Torrey Ann Derocher, CNM

  • Advanced Practice Midwife
  • Midland, MI
National Provider Identifier
1023787975
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM07333 Issued in MI
Practice address
3016 W Wackerly St
Midland, MI 48640-6960
Phone
(989) 631-6730
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM07333 MI Primary

Addresses

Primary practice location

3016 W Wackerly St
Midland, MI 48640-6960

Mailing address

4761 Briarwood CT
Auburn, MI 48611-8514
Phone (989) 620-4208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817002333 MI Practitioner - Certified Nurse Midwife (CNM) 2365825734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Bay Health CentersGroup PAC ID 2466369046, 85 clinicians

Practice addresses (Care Compare)

3175 Professional CT
Bay City, MI 48706-2823
Phone (989) 667-3377

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
CNM07333MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince Jul 10, 2024 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Jul 10, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Great Lakes Bay Health Centers Past Accepting new patients

Locations

3175 Professional Ct
Bay City, MI 48706
Phone (989) 667-3377

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1023787975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 BRIARWOOD CT",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486118514",
            "telephone_number": "989-620-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406960",
            "telephone_number": "989-631-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROCHER",
        "first_name": "TORREY",
        "middle_name": "ANN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "CNM07333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.