Individual provider Active NPI

Katherine Elizabeth Smidt, CNM

  • Advanced Practice Midwife
  • Worthington, MN
National Provider Identifier
1609135367
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R1877313 Issued in MN
Practice address
1216 Ryans Rd
Worthington, MN 56187-1722
Phone
(507) 372-2921
Fax
(507) 372-5789
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 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 R1877313 MN Primary

Addresses

Primary practice location

1216 Ryans Rd
Worthington, MN 56187-1722

Mailing address

1216 Ryans Rd
Worthington, MN 56187-1722
Phone (507) 372-2921

Other names 1

  • Katherine Elizabeth Kapaska Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20120626000379 MN Practitioner - Certified Nurse Midwife (CNM) 5698930659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennan 957 clinicians
Rural Health Care Inc 156 clinicians

Practice addresses (Care Compare)

1216 Ryans Rd
Worthington, MN 56187-1722
Phone (507) 372-2921

1216 Ryans Rd
Suite 3
Worthington, MN 56187-1781
Phone (507) 372-6522

941 County Rd
Suite 9
Heron Lake, MN 56137-1408
Phone (507) 793-2349

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care, Inc Advanced Practice Midwife CurrentSince Aug 4, 2015 Accepting new patients
Avera McKennan Current Accepting new patients
Rural Health Care, Inc CurrentSince Aug 4, 2015 Accepting new patients
Sanford Health Network Past Accepting new patients
Avera McKennan Past Accepting new patients
Rural Health Care, Inc. Past Accepting new patients

Locations

300 S Bruce St
Ste 100
Marshall, MN 56258

1216 Ryans Rd
Ste 1
Worthington, MN 56187
Phone (507) 372-2921

1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921

1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522

1216 Ryans Rd
#1
Worthington, MN 56187
Phone (507) 372-2921

Interoperability endpoints

  • Direct secure messaging: katie.smidt@avera.sdhealthlink.net

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1609135367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 RYANS RD",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871722",
            "telephone_number": "507-372-2921",
            "fax_number": "507-372-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 RYANS RD",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871722",
            "telephone_number": "507-372-2921",
            "fax_number": "507-372-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIDT",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "R1877313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "KAPASKA",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worthington, MN

Sources for this page

Verify at the official NPI Registry.