Active NPI
Courtney Wipf, CNM
- Advanced Practice Midwife
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 002064
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Boro Park Obstetrics & Gynecology P.C. | Current | Accepting new patients | |
| Bronxcare Health System | Advanced Practice Midwife | Current | Accepting new patients |
| Maimonides Medical Center | Past | Accepting new patients | |
| Womencare Obstetrics and Gynecology P.C. | Past | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1467586792
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1336369859
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.