Individual provider Active NPI

Katie Ross Ireland, BSN, CNM

  • Advanced Practice Midwife
  • Minneapolis, MN
National Provider Identifier
1235545310
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R 144301-9 Issued in MN
Practice address
3620 14TH Ave S
Minneapolis, MN 55407-2712
Phone
(952) 451-3085
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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 R 144301-9 MN Primary

Addresses

Primary practice location

3620 14TH Ave S
Minneapolis, MN 55407-2712

Mailing address

2603 White Bear Ave N
Maplewood, MN 55109-5110
Phone (651) 600-3035

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
I20141010000267 MN Practitioner - Certified Nurse Midwife (CNM) 1759501919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Womens Care PAGroup PAC ID 9638329394, 44 clinicians

Practice addresses (Care Compare)

1687 Woodlane Dr
Suite 101
Woodbury, MN 55125-3046
Phone (651) 600-3035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R 144301-9MNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Women'S Care, P.a. CurrentSince Dec 29, 2021 Accepting new patients
Comprehensive Healthcare for Women, PA CurrentSince Nov 28, 2021 Accepting new patients
Healtheast Woodwinds Hospital Past Accepting new patients
Healtheast St. John'S Hospital Past Accepting new patients

Locations

15000 Garrett Ave
Apple Valley, MN 55124

2603 White Bear Ave N
Saint Paul, MN 55109
Phone (651) 209-8125

1687 Woodlane Dr
Ste 101
Woodbury, MN 55125
Phone (651) 209-6263

Interoperability endpoints

  • Direct secure messaging: katie.ireland@mwc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1235545310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 WHITE BEAR AVE N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095110",
            "telephone_number": "651-600-3035",
            "fax_number": "651-348-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 14TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072712",
            "telephone_number": "952-451-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "KATIE",
        "middle_name": "ROSS",
        "credential": "BSN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "R 144301-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.