Individual provider Active NPI

Jennifer Davis Macblane, C.N.M.

  • Midwife
  • Syracuse, NY
National Provider Identifier
1386941193
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
28001429 Issued in NY
Practice address
301 Prospect Ave
Syracuse, NY 13203-1807
Phone
(315) 448-5840
NPI assigned
Feb 15, 2011
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 28001429 NY Primary

Addresses

Primary practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Mailing address

4853 Thornwood Dr
Liverpool, NY 13088-5811
Phone (315) 569-1050

Other practice location 1

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 252-5028

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
I20170928000788 NY Practitioner - Certified Nurse Midwife (CNM) 6800160961 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Practice addresses (Care Compare)

17 Lansing St
Suite 201
Auburn, NY 13021-1983
Phone (315) 252-8838

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001429NYMDMarriage & Family Therapist
28001429NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Community Health Center CurrentSince Sep 1, 2017 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Aug 16, 2021 Accepting new patients
St. Joseph's Pathology, PC Current Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Aug 16, 2021 Accepting new patients
Syracuse Community Health Center, Inc. CurrentSince Sep 1, 2017 Accepting new patients
St Josephs Hospital Health Center CurrentSince May 15, 2023 Accepting new patients
Upstate Community Medical, PC CurrentSince Jun 13, 2018 Accepting new patients
St Joseph's Hospital Health Center CurrentSince May 15, 2023 Accepting new patients
St Josephs Medical PC CurrentSince Apr 1, 2025 Accepting new patients

Locations

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

615 N Seward Ave
Auburn, NY 13021
Phone (315) 253-9749

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678

819 S Salina St
Syracuse, NY 13202

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jmacblane@hiemail.healtheconnections.org
  • Direct secure messaging: jmacblane76130@direct.upstate.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1386941193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4853 THORNWOOD DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885811",
            "telephone_number": "315-569-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Lansing St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211983",
            "country_code": "US",
            "telephone_number": "315-252-5028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACBLANE",
        "first_name": "JENNIFER",
        "middle_name": "DAVIS",
        "credential": "C.N.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "28001429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.