Individual provider Active NPI

Courtney Wipf, CNM

  • Advanced Practice Midwife
  • Bronx, NY
National Provider Identifier
1336720952
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
002064 Issued in NY
Practice address
1650 Grand Concourse
Bronx, NY 10457-7606
Phone
(718) 239-8383
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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 002064 NY Primary

Addresses

Primary practice location

1650 Grand Concourse
Bronx, NY 10457-7606

Mailing address

1650 Grand Concourse FL 5
Bronx, NY 10457-7606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210804003141 NY Practitioner - Certified Nurse Midwife (CNM) 3577967124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boro Park Obstetrics and Gynecology P.C.Group PAC ID 4789743576, 17 clinicians

Practice addresses (Care Compare)

5925 15TH Ave
Brooklyn, NY 11219-5009
Phone 71897227001121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System CurrentSince Jun 16, 2021 Accepting new patients
Bronxcare Health System Current Accepting new patients
Boro Park Obstetrics & Gynecology P.C. CurrentSince Sep 19, 2022 Accepting new patients
Bronxcare Health System Advanced Practice Midwife CurrentSince Jun 16, 2021 Accepting new patients
Maimonides Medical Center Past Accepting new patients
Womencare Obstetrics and Gynecology P.C. PastSince Nov 5, 2018 Accepting new patients

Locations

1650 Grand Concourse
Fl 5
Bronx, NY 10457
Phone (718) 239-8383

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1650 Grand Concourse
#5
Bronx, NY 10457

1650 Grand Concourse
Fl 1
Bronx, NY 10457
Phone (718) 518-5340

1555 60th St
Brooklyn, NY 11219

864 Eastern Pkwy
Brooklyn, NY 11213
Phone (718) 735-6002

1001 Newkirk Ave
Brooklyn, NY 11230
Phone (347) 240-6451

5925 15th Ave
Brooklyn, NY 11219
Phone (718) 972-2700

1505 52nd St
Brooklyn, NY 11219
Phone (718) 437-4500

52D Broadway
Brooklyn, NY 11249
Phone (718) 388-2700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: courtney.wipf.1@40.direct.athenahealth.com

Organizations & group practices 6

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1336720952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE FL 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "718-239-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIPF",
        "first_name": "COURTNEY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "002064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.