Individual provider Active NPI

Nora Elderkin, MSN, CNM

  • Advanced Practice Midwife
  • Fresno, CA
National Provider Identifier
1205310794
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236117 Issued in CA
Practice address
650 N Fulton St
Fresno, CA 93728-3404
Phone
(559) 488-4900
NPI assigned
Sep 20, 2018
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM04762 MD
Advanced Practice Midwife 367A00000X 236117 CA Primary

Addresses

Primary practice location

650 N Fulton St
Fresno, CA 93728-3404

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 287-7526

Other practice location 1

1100 S Cedar St
Mason, MI 48854-2086
Phone (517) 484-3000

Other practice location 2

1560 Turf Ln
East Lansing, MI 48823-6392
Phone (517) 484-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200626002025 CA Practitioner - Certified Nurse Midwife (CNM) 2961755731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
CNM04762MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. CurrentSince May 26, 2020 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince May 26, 2020 Accepting new patients
Planned Parenthood Mar Monte, Inc Past Accepting new patients

Locations

650 N Fulton St
Fresno, CA 93728
Phone (559) 488-4900

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

Interoperability endpoints

  • Direct secure messaging: nora.elderkin.p1@direct.ppmarmonte.nextgenshare.com

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1205310794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-287-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N FULTON ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283404",
            "telephone_number": "559-488-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488542086",
            "country_code": "US",
            "telephone_number": "517-484-3000",
            "fax_number": "517-484-6358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 Turf Ln",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236392",
            "country_code": "US",
            "telephone_number": "517-484-3000",
            "fax_number": "517-484-6358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDERKIN",
        "first_name": "NORA",
        "credential": "MSN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "CNM04762",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.