Individual provider Active NPI

Elizabeth Joanne Radford, CNM

  • Advanced Practice Midwife
  • Hudson, WI
National Provider Identifier
1427280320
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
403 Stageline Rd
Hudson, WI 54016
Phone
(715) 531-6800
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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 Primary

Addresses

Primary practice location

403 Stageline Rd
Hudson, WI 54016

Mailing address

403 Stageline Rd
Hudson, WI 54016-1789
Phone (715) 531-6800

Other practice location 1

559 Capitol Blvd
Saint Paul, MN 55103-2101
Phone (651) 232-0100

Other names 1

  • Elizabeth Joanne Barry- Jensen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100929001295 MN Practitioner - Certified Nurse Midwife (CNM) 9032235833 Reassigns benefits to 2 organizations
I20110721000342 WI Practitioner - Certified Nurse Midwife (CNM) 9032235833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Area Medical Center IncGroup PAC ID 7911800586, 88 clinicians

Practice addresses (Care Compare)

1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1555

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Area Medical Center Inc. CurrentSince May 1, 2022 Accepting new patients
Baldwin Area Medical Center, Inc. CurrentSince May 1, 2022 Accepting new patients
Comprehensive Healthcare for Women, PA PastSince Sep 1, 2019 Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients

Locations

1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111

Interoperability endpoints

  • Direct secure messaging: ebarryjensen106716@excellian.direct.allina.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.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1427280320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 STAGELINE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161789",
            "telephone_number": "715-531-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 STAGELINE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "54016",
            "telephone_number": "715-531-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 Capitol Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551032101",
            "country_code": "US",
            "telephone_number": "651-232-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADFORD",
        "first_name": "ELIZABETH",
        "middle_name": "JOANNE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BARRY- JENSEN",
            "middle_name": "JOANNE",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.