Individual provider Active NPI

Mindie Alpert, CNM

  • Advanced Practice Midwife
  • Salem, OR
National Provider Identifier
1295705556
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
200550024NP Issued in OR
Practice address
3825 Wolverine St NE
Salem, OR 97305
Phone
(503) 775-4931
Fax
(503) 788-7285
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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 200550024NP OR Primary

Addresses

Primary practice location

3825 Wolverine St NE
Salem, OR 97305

Mailing address

3727 NE Martin Luther King Jr Blvd
Attn: Credentialing
Portland, OR 97212-1112
Phone (503) 775-4931

Other identifiers 2

IdentifierTypeStateIssuer
269744MedicaidOR
9664673MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260215000138 CO Practitioner - Certified Nurse Midwife (CNM) 6103306576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Eldorado Blvd
Broomfield, CO 80021-3564

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200550024NPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jan 7, 2026 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jan 7, 2026 Accepting new patients
St Mary'S Hospital and Medical Center, Inc Past Accepting new patients

Locations

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

610 25 Rd
Grand Junction, CO 81505
Phone (970) 298-9600

2525 N 8th St
Ste 202
Grand Junction, CO 81501
Phone (970) 245-1168

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1295705556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 NE MARTIN LUTHER KING JR BLVD",
            "address_2": "ATTN: CREDENTIALING",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121112",
            "telephone_number": "503-775-4931",
            "fax_number": "503-788-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 WOLVERINE ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97305",
            "telephone_number": "503-775-4931",
            "fax_number": "503-788-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALPERT",
        "first_name": "MINDIE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "200550024NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269744",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9664673",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.