Individual provider Active NPI

Aubrey Therese Tompkins, CNM

  • Advanced Practice Midwife
  • Niles, MI
National Provider Identifier
1447963889
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704306692 Issued in MI
Practice address
42 N Saint Joseph Ave Ste 201
Niles, MI 49120-2203
Phone
(269) 687-0808
Fax
(269) 687-0811
NPI assigned
Dec 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 4704306692 MI Primary

Addresses

Primary practice location

42 N Saint Joseph Ave Ste 201
Niles, MI 49120-2203

Mailing address

42 N Saint Joseph Ave Ste 201
Niles, MI 49120-2203
Phone (269) 687-0808

Other practice location 1

31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (269) 683-5510

Other practice location 2

1951 Oak St
Niles, MI 49120-3738
Phone (269) 683-0300

Other names 1

  • Miss Aubrey Therese Hodges Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230317001630 MI Practitioner - Certified Nurse Midwife (CNM) 7214301027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians

Practice addresses (Care Compare)

42 N Saint Joseph Ave
Suite 201
Niles, MI 49120-2203
Phone (269) 687-0808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704306692MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Practices CurrentSince Mar 8, 2023 Accepting new patients
Lakeland Immediate Care Center CurrentSince Apr 30, 2023 Accepting new patients
Lakeland Immediate Care Center Current Accepting new patients
Lakeland Medical Practices CurrentSince Mar 8, 2023 Accepting new patients
Lakeland Immediate Care Center CurrentSince Apr 30, 2023 Accepting new patients

Locations

261 M 62
Cassopolis, MI 49031
Phone (269) 445-3874

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

42 N Saint Joseph Ave
Ste 201
Niles, MI 49120
Phone (269) 429-5007

1951 Oak St
Niles, MI 49120
Phone (269) 262-4749

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

Interoperability endpoints

  • Direct secure messaging: atompkins1272349@epic00.corewelldirect.org

Organizations & group practices 5

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.

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": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1447963889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 N SAINT JOSEPH AVE STE 201",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202203",
            "telephone_number": "269-687-0808",
            "fax_number": "269-687-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N SAINT JOSEPH AVE STE 201",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202203",
            "telephone_number": "269-687-0808",
            "fax_number": "269-687-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 N Saint Joseph Ave",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491202207",
            "country_code": "US",
            "telephone_number": "269-683-5510",
            "fax_number": "269-687-1877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1951 Oak St",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491203738",
            "country_code": "US",
            "telephone_number": "269-683-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "AUBREY",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704306692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "HODGES",
            "middle_name": "THERESE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niles, MI

Sources for this page

Verify at the official NPI Registry.