Betsy McCanse, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

09000239A Issued in IN

Practice address

111 W Washington St
Goshen, IN 46526-3728

Phone

(385) 274-6526

Fax

(574) 807-9575

NPI assigned

Dec 3, 2013

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

Credentials

Certified Nurse Midwife

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.

• Sacred Journey Midwifery LLC

  • Advanced Practice Midwife
  • Goshen, IN
  • NPI 1285234351
  NPD Authorized official

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1184055055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W WASHINGTON ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263728",
            "telephone_number": "385-274-6526",
            "fax_number": "574-807-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W WASHINGTON ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263728",
            "telephone_number": "385-274-6526",
            "fax_number": "574-807-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANSE",
        "first_name": "BETSY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000239A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison J Mattern, RN,CNR
• Brandon Maxwell, M.A.
• Riley McAlexander
• Katelyn McBride, MSW
• Dawn McCandless, MSW, LCSW
• Sean Michael McCrindle, LCSW
• Victoria McGrogan, BSW
• Annie Noelle McGuire, LCSW, CSAYC
• Teresa Kristine McGuire, O.D.
• McHcc Pharmacy

• Advanced Practice Midwife in Goshen, IN
• Providers in Goshen, IN by specialty
• Advanced Practice Midwife in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.