Active NPI
Karli Rae Kerrschneider, CNM
- Advanced Practice Midwife
- Baldwin, WI
National Provider Identifier
1720599673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209.016754
- Practice address
- 1100 Bergslien St
Baldwin, WI 54002 - Phone
- (715) 684-1111
- Fax
- (715) 684-1119
- NPI assigned
- Oct 18, 2017
- Last updated
- May 15, 2018
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 209.016754 | IL | |
| Advanced Practice Midwife | 367A00000X | 209.016754 | IL | Primary |
Addresses
Primary practice location
1100 Bergslien St
Baldwin, WI 54002
Mailing address
920 West St BLDG B
Peru, IL 61354-2763
Phone (563) 650-6898
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.016754 | IL | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1720599673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 WEST ST BLDG B",
"city": "PERU",
"state": "IL",
"postal_code": "613542763",
"telephone_number": "563-650-6898",
"fax_number": "815-220-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BERGSLIEN ST",
"city": "BALDWIN",
"state": "WI",
"postal_code": "54002",
"telephone_number": "715-684-1111",
"fax_number": "715-684-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERRSCHNEIDER",
"first_name": "KARLI",
"middle_name": "RAE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "IL",
"license": "209.016754",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209.016754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.