Ceree E. George, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

R198464-6 Issued in MN

Practice address

20 SE Ninth Street
Centracare Health System-Long Prairie
Long Prairie, MN 56347-1404

Phone

(320) 732-2141

Fax

(320) 732-6913

NPI assigned

Jan 10, 2007

Last updated

Sep 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Mahube-Otwa Community Action Partnership

  • In Home Supportive Care Agency
  • Detroit Lakes, MN
  • NPI 1285910596
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1083764476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SE NINTH STREET",
            "address_2": "CENTRACARE HEALTH SYSTEM-LONG PRAIRIE",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "563471404",
            "telephone_number": "320-732-2141",
            "fax_number": "320-732-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SE NINTH STREET",
            "address_2": "CENTRACARE HEALTH SYSTEM-LONG PRAIRIE",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "563471404",
            "telephone_number": "320-732-2141",
            "fax_number": "320-732-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "CEREE",
        "middle_name": "E.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9200113",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "R198464-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Nicole Drum
• Rene Eldidy Jr., M.D.
• Embrace Recovery, LLC
• Shannon Elizabeth Fah, NP
• Benjamin Woodrow Fritchman
• Bobbie Jo Marie Haagenson, NP
• Christopher Allan Hagen, PHARMD
• Haven Road Recovery Center, LLC
• Haven Road Recovery Center, LLC
• Heather R Holt, DDS

• Advanced Practice Midwife in Long Prairie, MN
• Providers in Long Prairie, MN by specialty
• Advanced Practice Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.