Erin Joanne Broda, CNM
Individual provider Active NPI Advanced Practice Midwife · Green Bay, WI
NPI 1699247486 · NPPES record last updated Jan 22, 2019
Key facts
- NPI
- 1699247486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 350 (MN)
- Practice address
- 1821 S Webster Ave
Green Bay, WI 54301-2253 - Phone
- (920) 496-4700
- NPI assigned
- Dec 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 25
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Wisconsin Medical Foundation Inc
Practice addresses (Care Compare)
2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190222000763 | WI | Practitioner - Certified Nurse Midwife (CNM) | 9234478074 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350 | MN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| Access Community Health Centers, Inc. | Current |
Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| Access Community Health Centers, Inc. | Current |
Accepting new patients | |
| University of Wisconsin Medical Foundation Inc | Past | Accepting new patients |
Locations
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
1715 Dousman St
Green Bay, WI 54303
1860 Shawano Ave
Green Bay, WI 54303
Phone (920) 405-1414
1821 S Webster Ave
Green Bay, WI 54301
Phone (920) 431-1850
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
2402 Winnebago St
Madison, WI 53704
Phone (608) 242-6840
2202 S Park St
Madison, WI 53713
Phone (608) 443-5480
3434 E Washington Ave
Madison, WI 53704
Phone (608) 443-5480
2901 W Beltline Hwy
Ste 120
Madison, WI 53713
Phone (608) 443-5500
451 Junction Rd
Madison, WI 53717
Phone (608) 263-5010
20 S Park St
Madison, WI 53715
Phone (608) 287-2090
855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 350 | MN | Yes |
Addresses
Primary practice location
1821 S Webster Ave
Green Bay, WI 54301-2253
Mailing address
1715 Dousman St
Green Bay, WI 54303-3211
Phone (920) 496-4700
Other providers in Green Bay, WI
- Brighter Futures Counseling Services, LLC
- Denise Mary Brilliant
- Bristol Hospice - Green Bay, L.L.C.
- Nylene Brittain
- Michael J Brockman
- Mark Andrew Brodhagen
- Abigail Brooks
- David J. Brooks
- Katelyn Marie Brosig
- Michael A. Brossman
All providers in Green Bay, WI · Advanced Practice Midwife in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.