Individual provider Active NPI

Kimberly M Eidson

  • Advanced Practice Midwife
  • Battle Creek, MI
National Provider Identifier
1336797794
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704265679 Issued in MI
Practice address
3238 Capital Ave SW
Battle Creek, MI 49015-4302
Phone
(269) 979-6432
NPI assigned
Aug 29, 2019
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704265679 MI Primary
Midwife 176B00000X 4704265679 MI

Addresses

Primary practice location

3238 Capital Ave SW
Battle Creek, MI 49015-4302

Mailing address

235 E Chicago St Ste 1
Coldwater, MI 49036-1789
Phone (517) 279-8465

Other practice location 1

235 E Chicago St Ste 1
Coldwater, MI 49036-1789
Phone (517) 279-8465

Other practice location 2

711 S Health Pkwy Ste 1
Three Rivers, MI 49093-8354
Phone (269) 273-8557

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson HealthCare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200114003692 MI Practitioner - Certified Nurse Midwife (CNM) 5597190892 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians

Practice addresses (Care Compare)

3238 Capital Ave SW
Bronson OB/GYN Capital Ave SW
Battle Creek, MI 49015-4302
Phone (269) 979-6432

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Health System, Inc CurrentSince Jul 28, 2024 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Apr 1, 2022 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Three Rivers Health System, Inc CurrentSince Jul 28, 2024 Accepting new patients
Bronson Methodist Hospital CurrentSince Jul 20, 2022 Accepting new patients
Community Health Center of Branch County CurrentSince Nov 9, 2019 Accepting new patients
Three Rivers Health System, Inc Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince Apr 1, 2022 Accepting new patients
Community Health Center of Branch County CurrentSince Nov 9, 2019 Accepting new patients
Bronson Battle Creek Hospital Past Accepting new patients

Locations

181 Emmett St W
Battle Creek, MI 49037
Phone (269) 965-8866

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

3238 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 979-6432

235 E Chicago St
Coldwater, MI 49036
Phone (517) 279-8465

235 E Chicago St
Ste 1
Coldwater, MI 49036
Phone (517) 279-8465

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste N1200
Kalamazoo, MI 49007
Phone (269) 341-7887

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-8557

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: kimberly.eidson.p1@direct.gracehealthmi.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1336797794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E CHICAGO ST STE 1",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361789",
            "telephone_number": "517-279-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154302",
            "telephone_number": "269-979-6432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 E Chicago St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "MI",
            "postal_code": "490361789",
            "country_code": "US",
            "telephone_number": "517-279-8465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 S Health Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490938354",
            "country_code": "US",
            "telephone_number": "269-273-8557",
            "fax_number": "269-279-6461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EIDSON",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704265679",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MI",
            "license": "4704265679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson HealthCare Group Direct Address",
            "affiliationName": "Bronson HealthCare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.