Individual provider Active NPI

Jennifer E Taubel, CNM

  • Advanced Practice Midwife
  • Oshkosh, WI
National Provider Identifier
1497742159
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
110612 Issued in WI
Practice address
2700 W 9TH Ave
Oshkosh, WI 54904-7247
Phone
(920) 223-0220
NPI assigned
Sep 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 110612 WI
Advanced Practice Midwife 367A00000X 110612 WI Primary

Addresses

Primary practice location

2700 W 9TH Ave
Oshkosh, WI 54904-7247

Mailing address

2700 W 9TH Ave
Oshkosh, WI 54904-7247
Phone (920) 223-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040131000055 WI Practitioner - Certified Nurse Midwife (CNM) 8224931738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care of Wisconsin SCGroup PAC ID 3072416601, 23 clinicians

Practice addresses (Care Compare)

3232 N Ballard Rd
Suite 100
Appleton, WI 54911-8804
Phone (920) 729-7105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013WIMDChiropractor
110612WIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care of Wisconsin S.C. CurrentSince Sep 13, 2023 Accepting new patients
Theda Clark OB Hospitalists SC CurrentSince Sep 13, 2023 Accepting new patients

Locations

3232 N Ballard Rd
Ste 100
Appleton, WI 54911

200 Theda Clark Medical Plz
Ste 130
Neenah, WI 54956

E3277 Apple Tree Ln
Waupaca, WI 54981
Phone (715) 256-0358

Organizations & group practices 2

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": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1497742159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047247",
            "telephone_number": "920-223-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047247",
            "telephone_number": "920-223-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUBEL",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-28",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "110612",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "110612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.