Active NPI
Jenna Marie Bealer, MSM, CPM, LDM
- Midwife
- Salem, OR
National Provider Identifier
1699363051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MID-139
- Practice address
- 13160 Jerusalem Hill Rd NW
Salem, OR 97304-9622 - Phone
- (503) 315-2229
- Fax
- (503) 868-7286
- NPI assigned
- Dec 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WA | ||
| Midwife | 176B00000X | MID-139 | ID | Primary |
Addresses
Primary practice location
13160 Jerusalem Hill Rd NW
Salem, OR 97304-9622
Mailing address
13160 Jerusalem Hill Rd NW
Salem, OR 97304-9622
Phone (503) 315-2229
Other practice location 1
270 N Linder Rd
Meridian, ID 83642-2437
Phone (208) 884-1223
Other practice location 2
309 N Anderson St Apt 201
Ellensburg, WA 98926-4007
Phone (720) 301-6552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MID-139 | ID | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Vie Gentle Birth Center LLC | Past | Accepting new patients | |
| The Baby Place Inc | Past | Accepting new patients | |
| New Beginnings Baby Place LLC. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Birthing Clinic/Center
- Salem, OR
- NPI 1235622408
-
dba New Beginnings Birth Center
- Birthing Clinic/Center
- Meridian, ID
- NPI 1447514245
-
- Birthing Clinic/Center
- Meridian, ID
- NPI 1689711897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1699363051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13160 JERUSALEM HILL RD NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973049622",
"telephone_number": "503-315-2229",
"fax_number": "503-868-7286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13160 JERUSALEM HILL RD NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973049622",
"telephone_number": "503-315-2229",
"fax_number": "503-868-7286"
}
],
"practiceLocations": [
{
"address_1": "270 N Linder Rd",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836422437",
"country_code": "US",
"telephone_number": "208-884-1223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 N Anderson St Apt 201",
"address_purpose": "LOCATION",
"city": "Ellensburg",
"state": "WA",
"postal_code": "989264007",
"country_code": "US",
"telephone_number": "720-301-6552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEALER",
"first_name": "JENNA",
"middle_name": "MARIE",
"credential": "MSM, CPM, LDM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-31",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "ID",
"license": "MID-139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.