Individual provider Active NPI

Betsy Batejan, CNM

  • Advanced Practice Midwife
  • Philadelphia, PA
National Provider Identifier
1639107592
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW008584L Issued in PA
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

Updated by the provider on Nov 25, 2019

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 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

IdentifierTypeStateIssuer
23-2080863OtherPAPRUDENTIAL
2543297OtherPAAETNA PROFESSIONAL
7272228OtherPAUSHC PROFESSIONAL
929580OtherPAKEYSTONE PROFESSIONAL
929580OtherPAPERSONAL CHOICE PROF
P003418OtherPACHAMPUS
868291000OtherPABLUECROSS - HMO
929580OtherPABLUE CROSS PPO
291259OtherPAMAMSI
01835541-01OtherPAAMERICHOICE - MA
1835541MedicaidPA
8463441OtherPACIGNA
929580OtherPABLUE 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

LicenseStateTypeSpecialty
MW008584LPAMDAdvanced 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.

Verify at the official NPI Registry.