Individual provider Active NPI

Jessica Shoemake Rupard, CNM

  • Advanced Practice Midwife
  • Jefferson, NC
National Provider Identifier
1366024903
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM791 Issued in NC
Practice address
200 Hospital Ave
Jefferson, NC 28640-9244
Phone
(336) 846-7101
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 CNM791 NC Primary

Addresses

Primary practice location

200 Hospital Ave
Jefferson, NC 28640-9244

Mailing address

200 Hospital Ave
Jefferson, NC 28640-9244
Phone (336) 846-7101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210608001564 NC Practitioner - Certified Nurse Midwife (CNM) 3274933577 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
791NCMDHealth Service Psychologist
CNM791NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Medical Associates, Inc. CurrentSince Sep 16, 2024 Accepting new patients
Ashe Financial Services, LLC CurrentSince May 10, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 3, 2024 Accepting new patients
Ashe Financial Services, LLC CurrentSince May 10, 2021 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Ashe Multispecialty Group, LLC CurrentSince Apr 15, 2023 Accepting new patients
Ashe Multispecialty Group, LLC CurrentSince Apr 15, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 3, 2024 Accepting new patients
Ashe Multispecialty Group, LLC Current Accepting new patients

Locations

381 Deerfield Rd
Boone, NC 28607
Phone (828) 268-8970

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

200 Hospital Ave
Bldg 2
Jefferson, NC 28640

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

200 Hospital Ave
Ste 3
Jefferson, NC 28640
Phone (336) 846-7101

Interoperability endpoints

  • Direct secure messaging: jrupard2863103@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1366024903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-846-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-846-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPARD",
        "first_name": "JESSICA",
        "middle_name": "SHOEMAKE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "CNM791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, NC

Sources for this page

Verify at the official NPI Registry.