Individual provider Active NPI

Jennifer Ann Wienges, CPM

  • Midwife
  • Rockport, ME
National Provider Identifier
1326665845
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
CPM682 Issued in ME
Practice address
1052 Commercial St
Rockport, ME 04856-3801
Phone
(706) 206-9909
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X CPM682 ME Primary

Addresses

Primary practice location

1052 Commercial St
Rockport, ME 04856-3801

Mailing address

PO Box 1301
Rockport, ME 04856-1301
Phone (706) 206-9909

Other names 1

  • Madrona Wienges Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPM682MEMDMidwife

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1326665845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1301",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048561301",
            "telephone_number": "706-206-9909",
            "fax_number": "207-358-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 COMMERCIAL ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563801",
            "telephone_number": "706-206-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENGES",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ME",
            "license": "CPM682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADRONA",
            "last_name": "WIENGES",
            "credential": "CPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.