Individual provider Active NPI

Kayleigh E Eckstrom, CNM

  • Advanced Practice Midwife
  • North Dartmouth, MA
National Provider Identifier
1467026955
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
238 Collins Corner Rd
North Dartmouth, MA 02747-1300
Phone
(540) 850-7797
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

238 Collins Corner Rd
North Dartmouth, MA 02747-1300

Mailing address

238 Collins Corner Rd
North Dartmouth, MA 02747-1300
Phone (540) 850-7797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210727002250 MA Practitioner - Certified Nurse Midwife (CNM) 6709289879 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Georgetown University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Practice addresses (Care Compare)

60 A Park St
Hyannis, MA 02601-5231
Phone (774) 552-6050

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Neighborhood Health Center Current Accepting new patients
Brockton Neighborhood Health Center CurrentSince Jan 13, 2025 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Jul 12, 2021 Accepting new patients
Brockton Neighborhood Health Center, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 1, 2023 Accepting new patients

Locations

1 Trowbridge Rd
Ste 100
Bourne, MA 02532
Phone (508) 743-0314

1 Trowbridge Rd
Bourne, MA 02532
Phone (508) 743-9563

63 Main St
Brockton, MA 02301
Phone (508) 559-6696

90 Ter Heun Dr
Ste 200
Falmouth, MA 02540
Phone (508) 457-0088

40 Quinlan Way
Ste 150
Hyannis, MA 02601
Phone (508) 593-4095

60A Park St
Hyannis, MA 02601
Phone (508) 771-4100

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

2 Jan Sebastian Dr
Ste 100C
Sandwich, MA 02563
Phone (508) 833-8247

Interoperability endpoints

  • FHIR API: https://epicproxy.et1290.epichosted.com/FHIRProxy/api/FHIR/R4/

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1467026955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 COLLINS CORNER RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471300",
            "telephone_number": "540-850-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 COLLINS CORNER RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471300",
            "telephone_number": "540-850-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKSTROM",
        "first_name": "KAYLEIGH",
        "middle_name": "E",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.