Active NPI
Jamie Otremba, C.N.M.
- Midwife
- Waconia, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- R131949-9
- Practice address
- 550 S Maple St
Waconia, MN 55387-1763 - Phone
- (952) 442-2137
- Fax
- (952) 442-5960
- NPI assigned
- Oct 10, 2005
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | R131949-9 | MN | Primary |
Addresses
Primary practice location
550 S Maple St
Waconia, MN 55387-1763
Mailing address
550 S Maple St
Waconia, MN 55387-1763
Phone (952) 442-2137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507488600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R131949-9 | MN | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| St. Francis Regional Medical Center | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| St Francis Regional Medical Center | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients | |
| St Francis Regional Medical Center | Past | Accepting new patients | |
| Metropolitan Obstetrics & Gynecology | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141
1601 Saint Francis Ave
Ste 100
Shakopee, MN 55379
Phone (952) 403-3535
4201 Dean Lakes Blvd
Ste 120
Shakopee, MN 55379
Phone (952) 496-6700
500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191
Interoperability endpoints
- jotremba157498@excellian.direct.allina.com
Organizations & group practices 10
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.
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
dba St. Francis Urgent Care - Southbridge
- Urgent Care Clinic/Center
- Shakopee, MN
- NPI 1447605514
-
dba United Plastic Surgery Clinic
- Plastic Surgery Physician
- Saint Paul, MN
- NPI 1558871301
-
dba Allina Health Fridley Clinic
- Family Medicine Physician
- Fridley, MN
- NPI 1912203365
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba St Francis Professional Fees
- Low-Risk Neonatal Registered Nurse
- Shakopee, MN
- NPI 1316101900
-
dba Allina Health Nicollet Mall Clinic
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
-
- Obstetrics & Gynecology Physician
- Saint Paul, MN
- NPI 1659355741
-
- General Acute Care Hospital
- Shakopee, MN
- NPI 1578520045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1275521692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S MAPLE ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871763",
"telephone_number": "952-442-2137",
"fax_number": "952-442-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S MAPLE ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871763",
"telephone_number": "952-442-2137",
"fax_number": "952-442-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTREMBA",
"first_name": "JAMIE",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-10",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MN",
"license": "R131949-9",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507488600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waconia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.