Individual provider Active NPI

Catherine Barbara Mascari, CERTIFIED NURSE MW

  • Advanced Practice Midwife
  • Saint Paul, MN
National Provider Identifier
1124016449
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0172 Issued in MN
Practice address
1235 Saint Paul Ave
Saint Paul, MN 55116-2708
Phone
(651) 698-8091
Fax
(651) 644-2609
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R1103100 MN
Obstetrics Physician 207VX0000X 0172 MN
Women's Health Nurse Practitioner 363LW0102X 0172 MN
Advanced Practice Midwife 367A00000X 0172 MN Primary

Addresses

Primary practice location

1235 Saint Paul Ave
Saint Paul, MN 55116-2708

Mailing address

1235 Saint Paul Ave
Saint Paul, MN 55116-2708
Phone (651) 698-8091

Other identifiers 1

IdentifierTypeStateIssuer
514198200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041130000256 MN Practitioner - Certified Nurse Midwife (CNM) 7517922784 Reassigns benefits to 1 organization
I20131024000895 TX Practitioner - Certified Nurse Midwife (CNM) 7517922784 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1235 Saint Paul Ave
Saint Paul, MN 55116-2708
Phone (651) 698-0891

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0172MNMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation CurrentSince Jun 29, 2015 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Sep 23, 2013 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Sep 21, 2015 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Sep 23, 2013 Accepting new patients
Motherhood to Menopause Midwifery Care, LLC Advanced Practice Midwife CurrentSince Jan 25, 2021 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Sep 21, 2015 Accepting new patients
Tuba City Regional Health Care Corporation Current Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Jun 29, 2015 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Myrtle Street Obstetrics & Gynecology, PC PastSince Jun 26, 2007 Accepting new patients
Menopause Center of Minnesota Advanced Practice Midwife PastSince May 17, 2020 Accepting new patients
Morning Star Birth Center, Inc Past Accepting new patients
Creations Midwifery, LLC Advanced Practice Midwife PastSince Aug 25, 2019 Accepting new patients
Morning Star Birth Services, LLC Past Accepting new patients
Saratoga Regional Medical , P.C Past Accepting new patients

Locations

1576 Minnehaha Ave W
Saint Paul, MN 55104
Phone (651) 698-0891

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1124016449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SAINT PAUL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162708",
            "telephone_number": "651-698-8091",
            "fax_number": "651-644-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SAINT PAUL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162708",
            "telephone_number": "651-698-8091",
            "fax_number": "651-644-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARI",
        "first_name": "CATHERINE",
        "middle_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "CERTIFIED NURSE MW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2023-10-30",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1103100",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MN",
            "license": "0172",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "0172",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "0172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514198200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.