Active NPI
Kathryn Jean Kern, CNM
- Advanced Practice Midwife
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 4704266168
- Practice address
- 49650 Cherry Hill Rd Ste 220
Canton, MI 48187-4860 - Phone
- (734) 398-7888
- Fax
- (734) 398-7885
- NPI assigned
- Aug 25, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 4704266168 | MI | Primary |
Addresses
Primary practice location
49650 Cherry Hill Rd Ste 220
Canton, MI 48187-4860
Mailing address
24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Other practice location 1
4200 Whitehall Dr Ste 350
Ann Arbor, MI 48105-9694
Phone (734) 572-9600
Other names 1
- Kathryn Jean Sibbold
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4200 Whitehall Dr
Suite 350
Ann Arbor, MI 48105-9694
Phone (734) 572-9600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704266168 | MI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Intercare Community Health Network | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Intercare Community Health Network | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Intercare Community Health Network | Current | Accepting new patients | |
| Iha Health Services Corporation | Past | Accepting new patients | |
| St Mary Mercy Hospital | Past | Accepting new patients |
Locations
4200 Whitehall Dr
Ste 350
Ann Arbor, MI 48105
Phone (734) 572-9600
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937
800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400
49650 Cherry Hill Rd
Ste 220
Canton, MI 48187
Phone (734) 398-7888
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
990 W Ann Arbor Trl
Ste 302
Plymouth, MI 48170
Phone (734) 414-1090
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
3950 Hollywood Rd
Ste 100
Saint Joseph, MI 49085
Phone (269) 429-0900
4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500
Interoperability endpoints
- kkern1764991@direct.trinity-health.org
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 and National Provider Directory roles.
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Federally Qualified Health Center (FQHC)
- Bangor, MI
- NPI 1326058512
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba InterCare Child and Adolescent Behavioral Health Center
- Federally Qualified Health Center (FQHC)
- Eau Claire, MI
- NPI 1336701119
-
dba InterCare Riverwood Center
- Federally Qualified Health Center (FQHC)
- Benton Harbor, MI
- NPI 1902235328
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
dba IHA Milan Primary Care
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Heath Ann Arbor Hospital
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1487021481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-747-6766",
"fax_number": "734-222-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49650 CHERRY HILL RD STE 220",
"city": "CANTON",
"state": "MI",
"postal_code": "481874860",
"telephone_number": "734-398-7888",
"fax_number": "734-398-7885"
}
],
"practiceLocations": [
{
"address_1": "4200 Whitehall Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481059694",
"country_code": "US",
"telephone_number": "734-572-9600",
"fax_number": "734-572-0616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERN",
"first_name": "KATHRYN",
"middle_name": "JEAN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MI",
"license": "4704266168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "SIBBOLD",
"middle_name": "JEAN",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.