Kathryn Elizabeth Fenske, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

61080 Issued in ID

Practice address

3450 Potomac Way
Idaho Falls, ID 83404-4970

Phone

(208) 557-2900

Fax

(208) 557-2910

NPI assigned

Jun 23, 2021

Last updated

Mar 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Women's Healthcare Associates, P.a.Group PAC ID 3577540616, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Women's Healthcare Associates, P.a.

  dba Rosemark WomenCare Specialists and/or Margaret Huggins, MD

  • Obstetrics & Gynecology Physician
  • Idaho Falls, ID
  • NPI 1255400636
  Medicare reassignment Care Compare group NPD
• Angel Wings Center of Healing

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1215159819
  NPD (past)

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1184293086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 POTOMAC WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044970",
            "telephone_number": "208-557-2900",
            "fax_number": "208-557-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 POTOMAC WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044970",
            "telephone_number": "208-557-2900",
            "fax_number": "208-557-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENSKE",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ID",
            "license": "61080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Davis Favero, CRNA
• Collin M Fehr, EDD
• Melissa Phillips Fehrenbacker, FNP-BC
• Jessica Feith
• Lauri W. Felts, MS, CCC-SLP
• Natalie Joan Ferrell
• Audrey Ferrin, FNP-BC
• Melissa Ferry
• Brady Lorin Fielding, DC
• Kaela Fife

• Midwife in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Midwife in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.