Individual provider Active NPI

Heather Breneisen Mena, CNM

  • Advanced Practice Midwife
  • Barrington, IL
National Provider Identifier
1578197851
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
994368 Issued in CO
Practice address
569 Shorely Dr
Barrington, IL 60010-3340
Phone
(847) 226-9351
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 994368 CO Primary

Addresses

Primary practice location

569 Shorely Dr
Barrington, IL 60010-3340

Mailing address

569 Shorely Dr
Barrington, IL 60010-3340
Phone (847) 226-9351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20221021000880 CO Practitioner - Certified Nurse Midwife (CNM) 6901272624 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
994368COMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Hospital, Inc Advanced Practice Midwife CurrentSince Aug 27, 2022 Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Aug 27, 2022 Accepting new patients
Saint Joseph Hospital, Inc Current Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1830 N Franklin St
Ste 330
Denver, CO 80218
Phone (303) 812-2000

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

1960 N Ogden St
Ste 320
Denver, CO 80218
Phone (303) 318-2620

Organizations & group practices 4

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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1578197851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 SHORELY DR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103340",
            "telephone_number": "847-226-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 SHORELY DR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103340",
            "telephone_number": "847-226-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA",
        "first_name": "HEATHER",
        "middle_name": "BRENEISEN",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "994368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.