Individual provider Active NPI

Antoinette L Westphal, APRN, CNM

  • Midwife
  • Minneapolis, MN
National Provider Identifier
1710299227
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
300 Issued in MN
Practice address
2606 Chicago Ave
Minneapolis, MN 55407-3706
Phone
(612) 545-5311
Fax
(612) 224-9622
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 300 MN Primary
Registered Nurse 163W00000X R137551-4 MN

Addresses

Primary practice location

2606 Chicago Ave
Minneapolis, MN 55407-3706

Mailing address

2606 Chicago Ave
Minneapolis, MN 55407-3706
Phone (612) 545-5311

Other practice location 1

624 Smith Ave S
Saint Paul, MN 55107-2620
Phone (651) 689-3988

Other practice location 2

1715 Dousman St
Green Bay, WI 54303
Phone (920) 496-4700

Other practice location 3

1715 Dousman St
Green Bay, WI 54303
Phone (920) 496-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221122002926 MN Practitioner - Nurse Practitioner 5698964153 Reassigns benefits to 1 organization
I20251231002890 MN Practitioner - Certified Nurse Midwife (CNM) 5698964153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 N Ave
Northfield, MN 55057-1498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
R137551-4MNMDRegistered Nurse
300MNMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Northfield Hospital CurrentSince Jul 1, 2024 Accepting new patients
Northfield Hospital CurrentSince Jul 1, 2024 Accepting new patients
Northfield Hospital Current Accepting new patients
Northfield Hospital Past Accepting new patients

Locations

1980 30th St NW
Faribault, MN 55021
Phone (507) 333-5499

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

1381 Jefferson Rd
Northfield, MN 55057
Phone (507) 646-8800

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1710299227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073706",
            "telephone_number": "612-545-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073706",
            "telephone_number": "612-545-5311",
            "fax_number": "612-224-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Smith Ave S",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551072620",
            "country_code": "US",
            "telephone_number": "651-689-3988",
            "fax_number": "612-224-9622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 Dousman St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "54303",
            "country_code": "US",
            "telephone_number": "920-496-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 Dousman St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "54303",
            "country_code": "US",
            "telephone_number": "920-496-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTPHAL",
        "first_name": "ANTOINETTE",
        "middle_name": "L",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MN",
            "license": "300",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R137551-4",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.