Kathryn Ault, CNM APRN

Primary specialty

MidwifeTaxonomy code 176B00000X

License

115061 Issued in AK

Practice address

205 W Fairview Ave
Homer, AK 99603-7032

Phone

(907) 435-0555

Fax

(844) 274-6970

NPI assigned

Sep 29, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AK

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

Merit-based Incentive Payment System (MIPS)

Final score

70.59 of 100Reported as group

Quality

83.37

Promoting interoperability

100

Improvement activities

40

Cost

16.65

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathryn.ault.1@14977.direct.athenahealth.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf

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.

• Anchorage Women'S Clinic, LLC

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
  • NPI 1265496061

  AK

  Medicare reassignment NPD
• Katieostrommd

  • Obstetrics & Gynecology Physician
  • Homer, AK
  • NPI 1093352502

  AK

  Medicare reassignment NPD
• Obhg Alaska, P.C.

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
  • NPI 1740697069

  AK

  Medicare reassignment NPD
• South Peninsula Hospital, Inc

  • Critical Access Hospital
  • Homer, AK
  • NPI 1093968372

  AK

  Medicare reassignment NPD
• South Peninsula Hospital, Inc

  • Home Health Agency
  • Homer, AK
  • NPI 1164400750
  NPD
• South Peninsula Hospital, Inc.

  • Critical Access Hospital
  • Homer, AK
  • NPI 1679566269
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1669921730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W FAIRVIEW AVE",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037032",
            "telephone_number": "907-435-0555",
            "fax_number": "844-274-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W FAIRVIEW AVE",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037032",
            "telephone_number": "907-435-0555",
            "fax_number": "844-274-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULT",
        "first_name": "KATHRYN",
        "credential": "CNM APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "115061",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AK",
            "license": "115061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1702227",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1655161",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "844-274-6970",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "address_1": "205 W Fairview Ave",
            "city": "Homer",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996037032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeanne Anderson, OTR
• Anne C Adamson DDS LLC
• Arctic Chiropractic Homer
• Arctic Rehabilitation and Physical Therapy Homer
• Bernadette M Arsenault, PT
• Julie Rene Aurand, LMT
• Anette M Avant, PT
• Sheryl Baechler
• Qurratul-Ayn Baker
• Kathie Baldwin

• All providers in Homer, AK
• Midwife in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.