Individual provider Active NPI

Janie Beth Allgor, CNM

  • Advanced Practice Midwife
  • Three Rivers, MI
National Provider Identifier
1629050950
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704147209 Issued in MI
Practice address
711 S Health Parkway Ste 1
Three Rivers, MI 49093-8354
Phone
(269) 273-8557
Fax
(269) 279-6461
NPI assigned
Nov 14, 2005
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 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 4704147209 MI Primary

Addresses

Primary practice location

711 S Health Parkway Ste 1
Three Rivers, MI 49093-8354

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-1088

Other practice location 1

601 E Chicago Rd
White Pigeon, MI 49099-9731
Phone (269) 483-7624

Other identifiers 3

IdentifierTypeStateIssuer
1629050950MedicaidMI
160G510560OtherMIBCBS GROUP-WOMENS
700G560080OtherMIBCBS GROUP

Other names 1

  • Janie Beth Boynton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • 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
I20040930000036 MI Practitioner - Certified Nurse Midwife (CNM) 2466421037 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704147209MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed CurrentSince Jun 1, 2009 Accepting new patients
Family Health Center Inc CurrentSince Jun 23, 2010 Accepting new patients
Three Rivers Health System, Inc CurrentSince Apr 1, 2015 Accepting new patients
Promed Healthcare CurrentSince Jun 1, 2009 Accepting new patients
Beacon Medical Group Michigan Inc Current Accepting new patients
Three Rivers Health System, Inc CurrentSince Apr 1, 2015 Accepting new patients
Three Rivers Health System, Inc Current Accepting new patients
Family Health Center Inc Current Accepting new patients
Family Health Center, Inc. CurrentSince Jun 23, 2010 Accepting new patients
Three Rivers Health Past Accepting new patients

Locations

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

117 W Paterson St
Kalamazoo, MI 49007

1535 Gull Rd
Ste 250
Kalamazoo, MI 49048
Phone (269) 226-5927

5943 Stadium Dr
Ste 3
Kalamazoo, MI 49009
Phone (269) 226-8315

7895 Currier Dr
Portage, MI 49002
Phone (269) 321-7120

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

701 S Health Parkway
Ofc
Three Rivers, MI 49093
Phone (269) 273-9789

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-6400

711 S Health Parkway
Ste 3
Three Rivers, MI 49093
Phone (269) 273-8557

715 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-8471

601 E Chicago Rd
White Pigeon, MI 49099
Phone (269) 483-7624

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1629050950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S HEALTH PARKWAY STE 1",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938354",
            "telephone_number": "269-273-8557",
            "fax_number": "269-279-6461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Chicago Rd",
            "address_purpose": "LOCATION",
            "city": "White Pigeon",
            "state": "MI",
            "postal_code": "490999731",
            "country_code": "US",
            "telephone_number": "269-483-7624",
            "fax_number": "269-483-7905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLGOR",
        "first_name": "JANIE",
        "middle_name": "BETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704147209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629050950",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP-WOMENS",
            "identifier": "160G510560",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "700G560080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIE",
            "last_name": "BOYNTON",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Three Rivers, MI

Sources for this page

Verify at the official NPI Registry.