Brooke Inez Ellingson Eischens, APRN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

408 Issued in MN

Practice address

968 Grand Ave
Saint Paul, MN 55105-3014

Phone

(651) 895-2520

NPI assigned

Sep 5, 2019

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 names 1

• Brooke Inez Ellingson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brooke.eischens.1@28961.direct.athenahealth.com

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.

• Amy E Johnson-Grass

  • Birthing Clinic/Center
  • Saint Paul, MN
  • NPI 1649593716
  NPD (past)

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1689223356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SIBLEY ST UNIT 305",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012689",
            "telephone_number": "612-716-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053014",
            "telephone_number": "651-895-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISCHENS",
        "first_name": "BROOKE",
        "middle_name": "INEZ ELLINGSON",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "9511-33",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "ELLINGSON",
            "middle_name": "INEZ",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Selstad Eikenberry, MS, RD
• Eileen G Anderson LLC
• David J Eilers, MD
• David G Einzig, MD
• Emily J Eisberner, PT, DPT
• Olivia Marie Eisenhauer
• Michael Eittreim, M.A.
• Amane Kassim Ejero
• Nicole Ekegren
• Sousana Ekladious, LMHC

• Advanced Practice Midwife in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Advanced Practice Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.