Individual provider Active NPI

Kierston N Bocquin, APRN CNM

  • Advanced Practice Midwife
  • Topeka, KS
National Provider Identifier
1598039307
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
53-755574-111 Issued in KS
Practice address
634 SW Mulvane St
Suite 209
Topeka, KS 66606-1678
Phone
(785) 295-5330
Fax
(785) 295-5355
NPI assigned
Feb 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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 53-755574-111 KS Primary

Addresses

Primary practice location

634 SW Mulvane St
Suite 209
Topeka, KS 66606-1678

Mailing address

Dept CH 14389
Palatine, IL 60055-4389
Phone (785) 295-5307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20130418000273 KS Practitioner - Certified Nurse Midwife (CNM) 0345486379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8108

634 SW Mulvane St
Topeka, KS 66606-1678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-755574-111KSMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Nov 1, 2017 Accepting new patients
Topeka Physician Group, LLC CurrentSince Nov 1, 2017 Accepting new patients
Topeka Hospital, LLC Past Accepting new patients

Locations

634 SW Mulvane St
Ste 209
Topeka, KS 66606
Phone (785) 295-5330

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

Interoperability endpoints

  • Direct secure messaging: kbocquin16810@stormontvaildirect.org
  • Direct secure messaging: kbocquin191187@ahs.direct-ci.com

Organizations & group practices 3

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": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1598039307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT CH 14389",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600554389",
            "telephone_number": "785-295-5307",
            "fax_number": "785-270-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 SW MULVANE ST",
            "address_2": "SUITE 209",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061678",
            "telephone_number": "785-295-5330",
            "fax_number": "785-295-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCQUIN",
        "first_name": "KIERSTON",
        "middle_name": "N",
        "credential": "APRN CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KS",
            "license": "53-755574-111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.