Amy L Ntoburi, APRN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

CNM 0214 Issued in MN

Practice address

1650 4TH St SE
Rochester, MN 55904-4717

Phone

(507) 529-6650

NPI assigned

Jan 25, 2006

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

Other identifiers 8

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

Specialty

Certified Nurse Midwife (CNM)

Education

University of Minnesota Medical School, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: antoburi8580@direct.olmmed.org

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.

• Olmsted Medical Center

  • Clinic/Center
  • Rochester, MN
  • NPI 1952356297
  Medicare reassignment Care Compare group NPD
• Ladd Memorial Hospital

  • Clinic/Center
  • Scandia, MN
  • NPI 1700195542
  NPD (past)
• Olmsted Medical Center

  • Clinic/Center
  • Rochester, MN
  • NPI 1013277789
  NPD (past)
• Olmsted Medical Center

  • General Acute Care Hospital
  • Rochester, MN
  • NPI 1538112131
  NPD (past)
• Omc Retail Services LLC

  • Community/Retail Pharmacy
  • Rochester, MN
  • NPI 1114344215
  NPD (past)
• Omc Retail Services LLC

  • Community/Retail Pharmacy
  • Rochester, MN
  • NPI 1811241169
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1245200856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 4TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044717",
            "telephone_number": "507-529-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 4TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044717",
            "telephone_number": "507-529-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTOBURI",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "R148305-3",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "CNM 0214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "526T6LA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "44626",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "07-04146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1042353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "132412",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO (ARAZ)",
            "identifier": "2258974",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "969683100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP48176",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Nowicki, MD
• Kongmo Nsameluh, NP-C
• NSH Rochester East LLC
• NSH Rochester West LLC
• Belinda Kwartemaa Nti, MB.CH.,B
• Louisa J Nuehring, MA, MT-BC
• Kallie M Nunez, DPT
• Jordan Shane Nunnelee, MD
• Ismail Nur
• Nelli Maria Josefiina Nurminen, M.L., PHD

• Advanced Practice Midwife in Rochester, MN
• Providers in Rochester, MN by specialty
• Advanced Practice Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.