Active NPI
Jennifer Davis Macblane, C.N.M.
- Midwife
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 28001429
- Practice address
- 301 Prospect Ave
Syracuse, NY 13203-1807 - Phone
- (315) 448-5840
- NPI assigned
- Feb 15, 2011
- Last updated
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001429 | NY | MD | Marriage & Family Therapist |
| 28001429 | NY | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Community Health Center | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| St. Joseph's Pathology, PC | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Syracuse Community Health Center, Inc. | Current | Accepting new patients | |
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| Upstate Community Medical, PC | Current | Accepting new patients | |
| St Joseph's Hospital Health Center | Current | Accepting new patients | |
| St Josephs Medical PC | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jmacblane@hiemail.healtheconnections.org
- 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.
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1497796353
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1689620163
-
dba Auburn Orthopaedic Services
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1699832436
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1235121575
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1184886988
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.