Audra Joy Degroot, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

B161310 Issued in IA

Practice address

33 4TH St NW
Sioux Center, IA 51250-1870

Phone

(712) 722-1700

Fax

(712) 722-1770

NPI assigned

Feb 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: audra.degroot.1@20239.direct.athenahealth.com
• Direct secure messaging: audra.degroot@avera.sdhealthlink.net

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.

• Greater Sioux Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Sioux Center, IA
  • NPI 1053582098
  Medicare reassignment NPD
• Greater Sioux Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Sioux Center, IA
  • NPI 1972398444
  NPD

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1427321496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 4TH ST NW",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501870",
            "telephone_number": "712-722-1700",
            "fax_number": "712-722-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 4TH ST NW",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501870",
            "telephone_number": "712-722-1700",
            "fax_number": "712-722-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROOT",
        "first_name": "AUDRA",
        "middle_name": "JOY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MN",
            "license": "R206041-7",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SD",
            "license": "CM000055",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B161310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6540373",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Cleveringa
• Core Chiropractic Center PC
• Lily Grace D'Amour, LMSW
• Aarika Denae De Jong, OTD
• Bronwen Dean, CNM, DNP, ARNP
• Ellen Marie Dejong-Pedersen, RN
• Paul W Dejong, MD
• Yeabsira Taye Doornink, LMSW
• Dordt University
• Brenda Downs, R.N.

• Advanced Practice Midwife in Sioux Center, IA
• Providers in Sioux Center, IA by specialty
• Advanced Practice Midwife in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.