Individual provider Active NPI

Kimberly Boehmler, CNM

  • Advanced Practice Midwife
  • Wilmington, DE
National Provider Identifier
1063474286
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
LK0000135 Issued in DE
Practice address
532 Greenhill Ave
Wilmington, DE 19805-1851
Phone
(302) 778-2229
Fax
(302) 778-2250
NPI assigned
Apr 4, 2006
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 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 LK0000135 DE Primary

Addresses

Primary practice location

532 Greenhill Ave
Wilmington, DE 19805-1851

Mailing address

PO Box 824804
Philadelphia, PA 19182-4804
Phone (302) 778-2229

Other identifiers 1

IdentifierTypeStateIssuer
1295738896OtherDEST FRANCIS HOSPITAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberlyboehmler@sffp.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20171211000107 DE Practitioner - Certified Nurse Midwife (CNM) 1951395508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Hospital IncGroup PAC ID 7911987144, 47 clinicians

Practice addresses (Care Compare)

532 Greenhill Ave
Wilmington, DE 19805-1851
Phone (302) 778-2229

701 N Clayton St
Wilmington, DE 19805-3165

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital Inc. Current Accepting new patients
St. Francis Hospital Inc. CurrentSince Dec 13, 2019 Accepting new patients
St. Francis Hospital Inc. Past Accepting new patients
Women to Women OB/GYN Associates Past Accepting new patients

Locations

620 Stanton Christiana Rd
Ste 304
Newark, DE 19713
Phone (302) 224-1748

1100 N Grant Ave
Fl 2
Wilmington, DE 19805
Phone (302) 421-4290

532 Greenhill Ave
Wilmington, DE 19805
Phone (302) 421-4100

701 N Clayton St
Fl 2
Wilmington, DE 19805
Phone (302) 575-8040

701 N Clayton St
Fl 7
Wilmington, DE 19805

701 N Clayton St
Ste 200
Wilmington, DE 19805
Phone (302) 575-8040

Organizations & group practices 4

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.

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1063474286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824804",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824804",
            "telephone_number": "302-778-2229",
            "fax_number": "302-504-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 GREENHILL AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051851",
            "telephone_number": "302-778-2229",
            "fax_number": "302-778-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHMLER",
        "first_name": "KIMBERLY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DE",
            "license": "LK0000135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST FRANCIS HOSPITAL",
            "identifier": "1295738896",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberlyboehmler@sffp.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "St. Francis Hospital direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "532 Greenhill Ave",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198051851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.