Active NPI
Jenilee Jaquez, CNM
- Advanced Practice Midwife
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- LK-0010223
- Practice address
- 200 Banning St Ste 320
Dover, DE 19904-3488 - Phone
- (302) 674-0223
- NPI assigned
- Jun 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | LK-0010223 | DE | Primary |
Addresses
Primary practice location
200 Banning St Ste 320
Dover, DE 19904-3488
Mailing address
200 Banning St Ste 320
Dover, DE 19904-3488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Banning St
Suite 320
Dover, DE 19904-3488
Phone (302) 674-0223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Dedicated to Women OB-GYN, P.a. | Current | Accepting new patients |
Locations
200 Banning St
Ste 320
Dover, DE 19904
Phone (302) 674-0223
640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688
640 S State St
Dover, DE 19901
Phone (302) 744-4700
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
806 Seabury Ave
Milford, DE 19963
Phone (301) 424-7522
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Dover, DE
- NPI 1548291891
-
- Colon & Rectal Surgery Physician
- Dover, DE
- NPI 1285809509
-
- Gastroenterology Physician
- Milford, DE
- NPI 1639938525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1265117915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BANNING ST STE 320",
"city": "DOVER",
"state": "DE",
"postal_code": "199043488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BANNING ST STE 320",
"city": "DOVER",
"state": "DE",
"postal_code": "199043488",
"telephone_number": "302-674-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAQUEZ",
"first_name": "JENILEE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-20",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "DE",
"license": "LK-0010223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.
- 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.