Active NPI
Jennifer E Taubel, CNM
- Advanced Practice Midwife
- Oshkosh, WI
National Provider Identifier
1497742159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 110612
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2013 | WI | MD | Chiropractor |
| 110612 | WI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Care of Wisconsin S.C. | Current | Accepting new patients | |
| Theda Clark OB Hospitalists SC | Current | 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.
-
- Obstetrics & Gynecology Physician
- Neenah, WI
- NPI 1003811993
-
- Obstetrics & Gynecology Physician
- Neenah, WI
- NPI 1295510196
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.