Active NPI
Nicole M Donager, CNM
- Midwife
- Burlington, VT
National Provider Identifier
1629314075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 101.0139582
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-0000
- NPI assigned
- Dec 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 606 | MN | |
| Midwife | 176B00000X | 101.0139582 | VT | Primary |
| Family Nurse Practitioner | 363LF0000X | 11700 | MN |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
671 Vandalia St
Saint Paul, MN 55114-1312
Other practice location 1
671 Vandalia St
Saint Paul, MN 55114-1312
Phone (651) 698-2406
Other names 1
- Nicole M Terwilliger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11700 | MN | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 606 | MN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Minnesota, North Dakota, South Dakota | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients |
Locations
7532 Brooklyn Blvd
Minneapolis, MN 55443
Phone (763) 560-1555
1200 Lagoon Ave
Minneapolis, MN 55408
Phone (612) 823-6300
671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674
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.
-
- Non-Surgical Family Planning Clinic/Center
- Saint Paul, MN
- NPI 1629057146
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
TX
-
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1629314075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 VANDALIA ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-0000"
}
],
"practiceLocations": [
{
"address_1": "671 Vandalia St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551141312",
"country_code": "US",
"telephone_number": "651-698-2406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONAGER",
"first_name": "NICOLE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MN",
"license": "606",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "VT",
"license": "101.0139582",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "11700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "TERWILLIGER",
"middle_name": "M",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.