Individual provider Active NPI

Kimberly Marie Bjelland, CNM

  • Advanced Practice Midwife
  • Danbury, CT
National Provider Identifier
1629846480
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
554 Issued in CT
Practice address
94 Locust Ave
Danbury, CT 06810-6032
Phone
(203) 748-6000
NPI assigned
Dec 12, 2023
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 554 CT Primary

Addresses

Primary practice location

94 Locust Ave
Danbury, CT 06810-6032

Mailing address

2773 Bluebird Cir
Costa Mesa, CA 92626-4832
Phone (714) 318-6263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240619001548 CT Practitioner - Certified Nurse Midwife (CNM) 8224571161 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
554CTMDOccupational Health Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women's Health LLC Advanced Practice Midwife CurrentSince May 1, 2024 Accepting new patients

Locations

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

175 Capital Blvd
Fl 3
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: kimberly.bjelland.1@10170.direct.athenahealth.com

Organizations & group practices 1

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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1629846480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 BLUEBIRD CIR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264832",
            "telephone_number": "714-318-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 LOCUST AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106032",
            "telephone_number": "203-748-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJELLAND",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.