Individual provider Active NPI

Stephanie Ann Braden, CNM

  • Midwife
  • Holland, OH
National Provider Identifier
1174281000
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
APRN.CNM.0019497 Issued in OH
Practice address
6855 Spring Valley Dr Ste 125
Holland, OH 43528-9374
Phone
(419) 389-0492
Fax
(419) 381-0751
NPI assigned
Dec 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X APRN.CNM.0019497 OH Primary

Addresses

Primary practice location

6855 Spring Valley Dr Ste 125
Holland, OH 43528-9374

Mailing address

11748 Brookshire St
Temperance, MI 48182-9611
Phone (734) 735-6081

Other practice location 1

2600 Navarre Ave
Oregon, OH 43616-3207
Phone (734) 735-6081

Other practice location 2

2702 Navarre Ave
Oregon, OH 43616-3223
Phone (419) 696-3280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220215002750 OH Practitioner - Certified Nurse Midwife (CNM) 1355734328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Park Community HospitalGroup PAC ID 1951200872, 18 clinicians

Practice addresses (Care Compare)

2801 Bay Park Dr
Oregon, OH 43616-4920
Phone (419) 690-7900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Feb 14, 2022 Accepting new patients
Memorial Professional Services LTD Current Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Feb 14, 2022 Accepting new patients
Bay Park Community Hospital CurrentSince Jul 1, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Bay Park Community Hospital Past Accepting new patients

Locations

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

1922 Glen Springs Dr
Fremont, OH 43420
Phone (419) 333-2798

6855 Spring Valley Dr
Ste 125
Holland, OH 43528
Phone (419) 389-0492

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

2702 Navarre Ave
Ste 305
Oregon, OH 43616
Phone (419) 691-8000

2751 Bay Park Dr
Ste 300
Oregon, OH 43616
Phone (419) 690-7596

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Interoperability endpoints

  • Direct secure messaging: sbraden120251@direct.promedica.org

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": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1174281000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11748 BROOKSHIRE ST",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829611",
            "telephone_number": "734-735-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 SPRING VALLEY DR STE 125",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289374",
            "telephone_number": "419-389-0492",
            "fax_number": "419-381-0751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Navarre Ave",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436163207",
            "country_code": "US",
            "telephone_number": "734-735-6081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2702 Navarre Ave",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436163223",
            "country_code": "US",
            "telephone_number": "419-696-3280",
            "fax_number": "419-696-3281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "APRN.CNM.0019497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

Verify at the official NPI Registry.