Individual provider Active NPI

Ann Elizabeth Groonwald, CNM

  • Advanced Practice Midwife
  • Minneapolis, MN
National Provider Identifier
1497213151
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
511 Issued in MN
Practice address
2606 Chicago Ave
Minneapolis, MN 55407-3706
Phone
(612) 545-5311
NPI assigned
Mar 12, 2019
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 236094 CA
Maternal Newborn Registered Nurse 163WM0102X 95141514 CA
Advanced Practice Midwife 367A00000X 511 MN Primary

Addresses

Primary practice location

2606 Chicago Ave
Minneapolis, MN 55407-3706

Mailing address

2606 Chicago Ave
Minneapolis, MN 55407-3706

Other practice location 1

3630 Enterprise St
San Diego, CA 92110-3212
Phone (619) 299-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240103002952 MN Practitioner - Certified Nurse Midwife (CNM) 2163872151 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95141514CAMDMaternal Newborn Registered Nurse
236094CAMDAdvanced Practice Midwife
511MNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Open Cities Health Center, Inc. CurrentSince Nov 21, 2023 Accepting new patients
Open Cities Health Center, Inc. CurrentSince Nov 21, 2023 Accepting new patients
Best Start Birth Center PastSince Feb 16, 2020 Accepting new patients
Minnesota Birth Center Inc. Past Accepting new patients
Best Start Midwife Services Advanced Practice Midwife PastSince Feb 16, 2020 Accepting new patients

Locations

409 Dunlap St N
Saint Paul, MN 55104
Phone (651) 290-9200

916 Rice St
Saint Paul, MN 55117
Phone (651) 290-9200

Interoperability endpoints

  • Direct secure messaging: agroonwald834914@direct.ochin.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDHIBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1497213151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073706",
            "telephone_number": "612-545-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 Enterprise St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921103212",
            "country_code": "US",
            "telephone_number": "619-299-0840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROONWALD",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236094",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "95141514",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.