Active NPI
Tamara Jackman
- Advanced Practice Midwife
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 164100-2
- Practice address
- 153 Cesar Chavez St
Saint Paul, MN 55107-2226 - Phone
- (651) 222-1816
- Fax
- (651) 602-7517
- NPI assigned
- Mar 24, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 164100-2 | MN | Primary |
Addresses
Primary practice location
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Mailing address
3023 44TH Ave S
Minneapolis, MN 55406-2311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Phone (651) 602-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 | |
| Northfield Hospital | Current | Accepting new patients | |
| Northfield Hospital | Current | Accepting new patients | |
| Northfield Hospital | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| Northfield Hospital | Past | Accepting new patients | |
| Northfield Hospital | Past | Accepting new patients | |
| Northfield Hospital | Past | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients | |
| Regions 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
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba McDonough Homes Clinic
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1821149964
-
- Rural Acute Care Hospital
- Northfield, MN
- NPI 1417990805
-
dba Northfield Hospital & Clinics - Urgent Care Farmington
- Urgent Care Clinic/Center
- Farmington, MN
- NPI 1336934108
-
- Primary Care Clinic/Center
- Farmington, MN
- NPI 1588692669
-
dba MINNESOTA COMMUNITY CARE MBC - St. Paul
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1043187289
-
dba HealthEast Professional Services
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Obstetrics & Gynecology Physician
- Northfield, MN
- NPI 1154350783
-
dba Northfield Hospital & Clinics - Northfield Clinic
- Multi-Specialty Clinic/Center
- Northfield, MN
- NPI 1255367629
-
dba Northfield Hospital & Clinics - Urgent Care Northfield
- Urgent Care Clinic/Center
- Northfield, MN
- NPI 1437668159
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1629006457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053371872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 44TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554062311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 CESAR CHAVEZ ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551072226",
"telephone_number": "651-222-1816",
"fax_number": "651-602-7517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKMAN",
"first_name": "TAMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MN",
"license": "164100-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.