Kylie Jacques, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

604-49 Issued in WI

Practice address

990 Plank Rd
Menasha, WI 54952-2936

Phone

(701) 412-7415

NPI assigned

Aug 18, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alba Birth Center LLC

  • Midwife
  • Menasha, WI
  • NPI 1013379742
  NPD

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1093692550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PLANK RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522936",
            "telephone_number": "701-412-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PLANK RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522936",
            "telephone_number": "701-412-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "KYLIE",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WI",
            "license": "604-49",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Elizabeth Hruzek-Graber, APNP
• Linda Geralyn Hulbert, REGISTERED NURSE
• Human Resource Assistance Center LLC
• Joseph Thomas Hurlburt, MS, LPC-IT
• Inner Strength Counseling & Recovery LLC
• Sarah E James, LPC
• Catherine Jankowski
• Julie Ann Janus, MSS CAPSW
• John D Jenkins, D.C.
• Zachary Jennings, RN

• Midwife in Menasha, WI
• Providers in Menasha, WI by specialty
• Midwife in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.