Individual provider Active NPI

Rachel A Hanus, APRN, CNM

  • Advanced Practice Midwife
  • Saint Paul, MN
National Provider Identifier
1184140402
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
344 Issued in MN
Practice address
968 Grand Ave
Saint Paul, MN 55105-3014
Phone
(651) 895-2520
NPI assigned
Aug 17, 2017
Last updated
Aug 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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 344 MN Primary

Addresses

Primary practice location

968 Grand Ave
Saint Paul, MN 55105-3014

Mailing address

741 Aurora Ave
Saint Paul, MN 55104-4974
Phone (319) 464-0214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20230717001613 MN Practitioner - Certified Nurse Midwife (CNM) 5395105746 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Cities Health Center, Inc. Current Accepting new patients
Open Cities Health Center, Inc. CurrentSince May 7, 2023 Accepting new patients
Open Cities Health Center, Inc. CurrentSince May 7, 2023 Accepting new patients
Amy E Johnson-Grass Past Accepting new patients

Locations

409 Dunlap St N
Saint Paul, MN 55104
Phone (651) 290-9200

916 Rice St
Saint Paul, MN 55117
Phone (651) 251-5993

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDHIBD

Organizations & group practices 4

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1184140402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 AURORA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044974",
            "telephone_number": "319-464-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053014",
            "telephone_number": "651-895-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANUS",
        "first_name": "RACHEL",
        "middle_name": "A",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.