Individual provider Active NPI

Jennifer Marie Cameron, CNM

  • Advanced Practice Midwife
  • Manistee, MI
National Provider Identifier
1174944235
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704196999 Issued in MI
Practice address
110 Washington St
Manistee, MI 49660-1233
Phone
(231) 299-3014
Fax
(231) 299-3025
NPI assigned
Dec 17, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704196999 MI Primary

Addresses

Primary practice location

110 Washington St
Manistee, MI 49660-1233

Mailing address

110 Washington St
Manistee, MI 49660-1233
Phone (231) 299-3014

Other practice location 1

3016 W Wackerly St
Midland, MI 48640-6960
Phone (989) 631-6730

Other identifiers 1

IdentifierTypeStateIssuer
1174944235MedicaidMI

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704196999MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Jun 26, 2022 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 16, 2017 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jun 26, 2022 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 16, 2017 Accepting new patients
Transitions Women's Wellness Center LLC Past Accepting new patients

Locations

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174944235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WASHINGTON ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601233",
            "telephone_number": "231-299-3014",
            "fax_number": "231-299-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WASHINGTON ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601233",
            "telephone_number": "231-299-3014",
            "fax_number": "231-299-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3016 W Wackerly St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486406960",
            "country_code": "US",
            "telephone_number": "989-631-6730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704196999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174944235",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

Verify at the official NPI Registry.