Active NPI
Betsy Batejan, CNM
- Advanced Practice Midwife
- Philadelphia, PA
National Provider Identifier
1639107592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- MW008584L
- Practice address
- 1427 Vine St
7TH FL
Philadelphia, PA 19102-1031 - Phone
- (215) 762-7824
- Fax
- (215) 246-5257
- NPI assigned
- Jun 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | MW008584L | PA | Primary |
Addresses
Primary practice location
1427 Vine St
7TH FL
Philadelphia, PA 19102-1031
Mailing address
609 W Germantown Pike
Ste 220
East Norriton, PA 19403-4261
Phone (484) 622-7940
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23-2080863 | Other | PA | PRUDENTIAL |
| 2543297 | Other | PA | AETNA PROFESSIONAL |
| 7272228 | Other | PA | USHC PROFESSIONAL |
| 929580 | Other | PA | KEYSTONE PROFESSIONAL |
| 929580 | Other | PA | PERSONAL CHOICE PROF |
| P003418 | Other | PA | CHAMPUS |
| 868291000 | Other | PA | BLUECROSS - HMO |
| 929580 | Other | PA | BLUE CROSS PPO |
| 291259 | Other | PA | MAMSI |
| 01835541-01 | Other | PA | AMERICHOICE - MA |
| 1835541 | Medicaid | PA | |
| 8463441 | Other | PA | CIGNA |
| 929580 | Other | PA | BLUE SHIELD PROFESSIONAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW008584L | PA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1639107592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 W GERMANTOWN PIKE",
"address_2": "STE 220",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194034261",
"telephone_number": "484-622-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 VINE ST",
"address_2": "7TH FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021031",
"telephone_number": "215-762-7824",
"fax_number": "215-246-5257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEJAN",
"first_name": "BETSY",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "PA",
"license": "MW008584L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRUDENTIAL",
"identifier": "23-2080863",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROFESSIONAL",
"identifier": "2543297",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USHC PROFESSIONAL",
"identifier": "7272228",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE PROFESSIONAL",
"identifier": "929580",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE PROF",
"identifier": "929580",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "P003418",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS - HMO",
"identifier": "868291000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PPO",
"identifier": "929580",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "291259",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE - MA",
"identifier": "01835541-01",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1835541",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8463441",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROFESSIONAL",
"identifier": "929580",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.