Tamara Jackman
Individual provider Active NPI Advanced Practice Midwife · Saint Paul, MN
NPI 1053371872 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1053371872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 164100-2 (MN)
- Practice address
- 153 Cesar Chavez St
Saint Paul, MN 55107-2226 - Phone
- (651) 222-1816
- Fax
- (651) 602-7517
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Side Community Health Services, Inc.
Practice addresses (Care Compare)
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Phone (651) 602-7500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061107000055 | MN | Practitioner - Certified Nurse Midwife (CNM) | 3476550310 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164100-2 | MN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Side Community Health Services, Inc. | Current |
Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| Northfield Hospital | Current | Accepting new patients | |
| Northfield Hospital | Current |
Accepting new patients | |
| Northfield Hospital | Current |
Accepting new patients | |
| Regions Hospital | Past | Accepting new patients | |
| Northfield Hospital | Past | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients | |
| Northfield Hospital | Past | Accepting new patients |
Locations
1980 30th St NW
Faribault, MN 55021
Phone (507) 333-5499
4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816
Interoperability endpoints
- tjackman733089@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 164100-2 | MN | Yes |
Addresses
Primary practice location
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Mailing address
3023 44TH Ave S
Minneapolis, MN 55406-2311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP48978 | Other | MN | HEALTH PARTNERS |
| 573T9JA | Other | MN | BCBS |
| NA9021042565 | Other | MN | PREFERRED ONE |
| 07-04167 | Other | MN | MEDICA |
| 132582 | Other | MN | UCARE |
Other providers in Saint Paul, MN
- Emily Iwuc
- Ellen Jabs
- Jack B Schaffer PHD PA
- Lisa E. Jack
- Tremia Jack
- Jackson Medical Equipment, Inc.
- Jackson Scmitz, PA
- Anitra L Jackson
- Azzairia Jackson
- Brian Jeffrey Jackson
All providers in Saint Paul, MN · Advanced Practice Midwife in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.