Ann Elizabeth Groonwald, CNM
Individual provider Active NPI Advanced Practice Midwife · Minneapolis, MN
NPI 1497213151 · NPPES record last updated Aug 25, 2022
Key facts
- NPI
- 1497213151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 511 (MN)
- Practice address
- 2606 Chicago Ave
Minneapolis, MN 55407-3706 - Phone
- (612) 545-5311
- NPI assigned
- Mar 12, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240103002952 | MN | Practitioner - Certified Nurse Midwife (CNM) | 2163872151 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95141514 | CA | MD | Maternal Newborn Registered Nurse |
| 236094 | CA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Cities Health Center, Inc. | Current |
Accepting new patients | |
| Open Cities Health Center, Inc. | Current |
Accepting new patients | |
| Minnesota Birth Center Inc. | Past | Accepting new patients | |
| Best Start Midwife Services | Advanced Practice Midwife | Past |
Accepting new patients |
| Best Start Birth Center | Past |
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) 251-5993
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDHIBD
- agroonwald834914@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 236094 | CA | |
| Maternal Newborn Registered Nurse | 163WM0102X | 95141514 | CA | |
| Advanced Practice Midwife | 367A00000X | 511 | MN | Yes |
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
Other providers in Minneapolis, MN
- Cassie Jane Groff
- Ruth Marie Gromek
- Kathy R Gromer
- Marita Christine Gronning
- Tina Michele Steinemann Gronseth
- Taylor Grootwassink
- Makaylah Grose
- Lauren Groshek
- Emily Groshens
- Kelly E Grosklags
All providers in Minneapolis, MN · Advanced Practice Midwife in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.