Individual provider Active NPI

Jenilee Jaquez, CNM

  • Advanced Practice Midwife
  • Dover, DE
National Provider Identifier
1265117915
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
LK-0010223 Issued in DE
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

Updated by the provider on May 2, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231006000468 DE Practitioner - Certified Nurse Midwife (CNM) 4587019815 Reassigns benefits to 2 organizations

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
Dedicated to Women OB-GYN, P.a.Group PAC ID 0446290456, 15 clinicians

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

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince May 20, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince May 20, 2024 Accepting new patients
Dedicated to Women OB-GYN, P.a. CurrentSince Sep 1, 2023 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.

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

Verify at the official NPI Registry.