Individual provider Active NPI

Emily R Jalabert, CNM

  • Advanced Practice Midwife
  • Fitchburg, WI
National Provider Identifier
1265114375
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM08708 Issued in WI
Practice address
2955 Triverton Pike Dr
Fitchburg, WI 53711-5807
Phone
(608) 227-7007
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 CNM08708 WI Primary

Addresses

Primary practice location

2955 Triverton Pike Dr
Fitchburg, WI 53711-5807

Mailing address

2541 S Austin St
Milwaukee, WI 53207-1517
Phone (651) 200-7187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024003036 WI Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 5799131983 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
CNM08708WIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Melius, Schurr & Cardwell CurrentSince Nov 13, 2023 Accepting new patients

Locations

2955 Triverton Pike Dr
Fitchburg, WI 53711
Phone (608) 227-7007

Organizations & group practices 1

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1265114375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 S AUSTIN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071517",
            "telephone_number": "651-200-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 TRIVERTON PIKE DR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115807",
            "telephone_number": "608-227-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALABERT",
        "first_name": "EMILY",
        "middle_name": "R",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "CNM08708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.