Active NPI
Elaine Boehm, CNM
- Advanced Practice Midwife
- W. St. Paul, MN
National Provider Identifier
1295990901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R-185338-2
- Practice address
- 153 Cesar Chavez St
W. St. Paul, MN 55107-2226 - Phone
- (651) 222-1816
- Fax
- (651) 222-1305
- NPI assigned
- Jul 22, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 185338-2 | MN | |
| Advanced Practice Midwife | 367A00000X | R-185338-2 | MN | Primary |
Addresses
Primary practice location
153 Cesar Chavez St
W. St. Paul, MN 55107-2226
Mailing address
153 Cesar Chavez St
W. St. Paul, MN 55107-2226
Phone (651) 222-1816
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080813000089 | MN | Practitioner - Certified Nurse Midwife (CNM) | 6800961772 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
895 7TH St E
Saint Paul, MN 55106-3871
Phone (651) 602-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185338-2 | MN | MD | Advanced Practice Midwife |
| R-185338-2 | MN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients |
Locations
895 7th St E
Saint Paul, MN 55106
Phone (651) 793-2250
153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816
Interoperability endpoints
- eboehm733008@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1821149964
MN
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1043187289
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1104977255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1295990901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 CESAR CHAVEZ ST",
"city": "W. ST. PAUL",
"state": "MN",
"postal_code": "551072226",
"telephone_number": "651-222-1816",
"fax_number": "651-222-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 CESAR CHAVEZ ST",
"city": "W. ST. PAUL",
"state": "MN",
"postal_code": "551072226",
"telephone_number": "651-222-1816",
"fax_number": "651-222-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHM",
"first_name": "ELAINE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MN",
"license": "185338-2",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MN",
"license": "R-185338-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in W. St. Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.