Individual provider Active NPI

Rebecca Madeleine Pfender, CNM

  • Advanced Practice Midwife
  • Baltimore, MD
National Provider Identifier
1093089799
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R214164 Issued in MD
Practice address
419 W Redwood St
Suite 500
Baltimore, MD 21201-1734
Phone
(667) 214-1300
Fax
(410) 328-3379
NPI assigned
Feb 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 012110 WV
Registered Nurse 163W00000X RN613196 PA
Advanced Practice Midwife 367A00000X R214164 MD Primary

Addresses

Primary practice location

419 W Redwood St
Suite 500
Baltimore, MD 21201-1734

Mailing address

250 W Pratt St
Suite 880
Baltimore, MD 21201-2423
Phone (667) 214-1302

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150505000359 MD Practitioner - Certified Nurse Midwife (CNM) 0840452611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

419 W Redwood St
Suite 500
Baltimore, MD 21201-7001
Phone (410) 328-6640

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN613196PAMDRegistered Nurse
012110WVMDRegistered Nurse
R214164MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Brexton Health Services, Inc. CurrentSince Jan 19, 2016 Accepting new patients
University of MD Obstetrical and Gynecological Asso. PA CurrentSince Apr 6, 2015 Accepting new patients
Chase Brexton Health Services, Inc. CurrentSince Jan 19, 2016 Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients
Shenandoah Valley Medical System, Inc. Past Accepting new patients
Obstetrical and Gynecological Assoc of the University of Maryland PA Past Accepting new patients

Locations

250 W Pratt St
Ste 880
Baltimore, MD 21201

120 Penn St
Baltimore, MD 21201
Phone (410) 328-8336

1111 N Charles St
Baltimore, MD 21201
Phone (410) 486-5991

419 W Redwood St
Ste 500
Baltimore, MD 21201
Phone (410) 328-6640

Interoperability endpoints

  • Direct secure messaging: rpfender155882@direct.umm.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1093089799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W PRATT ST",
            "address_2": "SUITE 880",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012423",
            "telephone_number": "667-214-1302",
            "fax_number": "410-328-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "address_2": "SUITE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "667-214-1300",
            "fax_number": "410-328-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFENDER",
        "first_name": "REBECCA",
        "middle_name": "MADELEINE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "012110",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN613196",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R214164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.