Jennifer Alexandria Gerfen, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

1077 Issued in MN

Practice address

28808 W Lake Dr
Madison Lake, MN 56063-4130

Phone

(509) 366-5331

NPI assigned

Dec 31, 2019

Last updated

Dec 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1689213258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28808 W LAKE DR",
            "city": "MADISON LAKE",
            "state": "MN",
            "postal_code": "560634130",
            "telephone_number": "509-366-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28808 W LAKE DR",
            "city": "MADISON LAKE",
            "state": "MN",
            "postal_code": "560634130",
            "telephone_number": "509-366-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERFEN",
        "first_name": "JENNIFER",
        "middle_name": "ALEXANDRIA",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MN",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN REGISTRY OF MIDWIVES",
            "identifier": "19110017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL MIDWIFE LICENSE",
            "identifier": "1077",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Baker, LICSW
• Bryan D. Johnson, DDS, PA
• Bulldog Adventures, PLLC (Madison Lake Family Dental Care)
• Christina Simonette DDS, PLLC
• Kristine Fasnacht Fumia, LAC
• Grace Margaret Hermer, OTR/L
• Kimberly Kopischke
• Breanna Kruckeberg, DMD
• Theresa Sue Olness
• Molly Weinandt

• Midwife in Madison Lake, MN
• Providers in Madison Lake, MN by specialty
• Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.