Individual provider Active NPI

Lori M Geller, CNM

  • Advanced Practice Midwife
  • Saint Paul, MN
National Provider Identifier
1619130861
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
12736 Issued in MN
Practice address
624 Smith Ave S
Saint Paul, MN 55107-2620
Phone
(651) 689-3988
Fax
(612) 224-9622
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 12736 MN Primary

Addresses

Primary practice location

624 Smith Ave S
Saint Paul, MN 55107-2620

Mailing address

2606 Chicago Ave
Minneapolis, MN 55407-3706
Phone (612) 545-5311

Other practice location 1

2606 Chicago Ave
Minneapolis, MN 55407-3706
Phone (612) 545-5311

Other identifiers 1

IdentifierTypeStateIssuer
1619130861OtherMNPROVIDER NPI

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
I20100528000265 MN Practitioner - Certified Nurse Midwife (CNM) 0749319853 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Dec 16, 2022 Accepting new patients
Fairview Express Care CurrentSince Dec 16, 2022 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Clinics CurrentSince Jul 26, 2022 Accepting new patients
Fairview Clinics CurrentSince Jul 26, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 16, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 16, 2022 Accepting new patients
Fairview Clinics Current Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients
Fairview Clinics Past Accepting new patients
Minnesota Birth Center Inc. Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

6525 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (952) 285-6140

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

Interoperability endpoints

  • Direct secure messaging: lgeller758328@fairview.direct-ci.com
  • Direct secure messaging: lgeller834909@direct.ochin.org

Organizations & group practices 12

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619130861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073706",
            "telephone_number": "612-545-5311",
            "fax_number": "612-224-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 SMITH AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072620",
            "telephone_number": "651-689-3988",
            "fax_number": "612-224-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073706",
            "country_code": "US",
            "telephone_number": "612-545-5311",
            "fax_number": "612-224-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELLER",
        "first_name": "LORI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "12736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1619130861",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.