Jacqueline Rose McMahon, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

APRN-246385 Issued in MT

Practice address

2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479

Phone

(406) 523-5650

NPI assigned

Apr 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21046/brand/1/csg/1/fhir/r4
• Direct secure messaging: jacqueline.mcmahon.1@21046.direct.athenahealth.com

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.

• Origin Health LLC

  • Maternal & Fetal Medicine Physician
  • Missoula, MT
  • NPI 1841835113
  Medicare reassignment NPD
• RCHP Billings - Missoula LLC

  dba Community Medical Center

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1346642899
  NPD (past)

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1255187720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016502",
            "telephone_number": "301-288-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 232",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-523-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "JACQUELINE",
        "middle_name": "ROSE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-12-10",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MT",
            "license": "APRN-246385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNM",
            "identifier": "APRN-246385",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valentina Leilani McLaughlin
• Diane Marie McLaverty, LCPC, LAC
• Michale McLean, LCSW
• Mijah McLeod
• Richard Allen McLeod, L.P.C.
• Julie McMahon, RNP
• Jeff Rion McMaster, RPH.
• David McMeekin, PA-C
• Rebeccah Tye McMillan, PT
• Kevin McMullen, M.D.

• Advanced Practice Midwife in Missoula, MT
• Providers in Missoula, MT by specialty
• Advanced Practice Midwife in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.