Active NPI
Kendra S Magner, CNM
- Advanced Practice Midwife
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R119356
- Practice address
- 640 S State St
Dover, DE 19901-3530 - Phone
- (302) 674-4700
- Fax
- (302) 735-3246
- NPI assigned
- Sep 25, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R119356 | MD | Primary |
| Advanced Practice Midwife | 367A00000X | LK-0010275 | DE |
Addresses
Primary practice location
640 S State St
Dover, DE 19901-3530
Mailing address
640 S State St
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 674-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R119356 | MD | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Practices of Antietam, LLC | Current | Accepting new patients | |
| Medical Practices of Antietam LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
11110 Medical Campus Rd
Ste 249
Hagerstown, MD 21742
Phone (301) 665-9098
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
11110 Medical Campus Rd
Ste 107
Hagerstown, MD 21742
Phone (301) 714-4100
3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150
Organizations & group practices 3
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.
-
- Clinic/Center
- Hagerstown, MD
- NPI 1710854963
-
- General Practice Physician
- Hagerstown, MD
- NPI 1558430843
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1063921856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S STATE ST",
"address_2": "MAIL CODE 3055",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-674-4700",
"fax_number": "302-735-3246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-674-4700",
"fax_number": "302-735-3246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNER",
"first_name": "KENDRA",
"middle_name": "S",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-25",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MD",
"license": "R119356",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "DE",
"license": "LK-0010275",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.