Nicole Marguerite Rothgarn, CNM
Individual provider Active NPI Advanced Practice Midwife · Kasson, MN
NPI 1659174696 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1659174696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 0133 (MN)
- Practice address
- 603 3Rd St SE
Kasson, MN 55944-2943 - Phone
- (507) 634-6071
- NPI assigned
- Mar 27, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133 | MN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Wellness & Birthcenter LLC | Advanced Practice Midwife | Past |
Accepting new patients |
| Full Circle Wellness & Birthcenter LLC | Advanced Practice Midwife | Past |
Accepting new patients |
Interoperability endpoints
- nicole.rothgarn@1036826972127236.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 0133 | MN | Yes |
Addresses
Primary practice location
603 3Rd St SE
Kasson, MN 55944-2943
Mailing address
1031 S Oak St
Lake City, MN 55041-1858
Phone (651) 380-0286
Other providers in Kasson, MN
- Lon L. Meyer
- Msocs-Kasson
- Dominic Anthony Noble-Henden
- David Michael Packer
- Ella Eileen Pitzenberger
- David Sabotta
- Kimberly Schahl
- Ladonna Marie Schultze
- Annemarie Schwanke
- Charles Daniel Seawell
All providers in Kasson, MN · Advanced Practice Midwife in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.