Karli Rae Kerrschneider, CNM
Individual provider Active NPI Advanced Practice Midwife · Baldwin, WI
NPI 1720599673 · NPPES record last updated May 15, 2018
Key facts
- NPI
- 1720599673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 209.016754 (IL)
- Practice address
- 1100 Bergslien St
Baldwin, WI 54002 - Phone
- (715) 684-1111
- Fax
- (715) 684-1119
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.016754 | IL | MD | Advanced Practice Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 209.016754 | IL | |
| Advanced Practice Midwife | 367A00000X | 209.016754 | IL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209.016754 | Other | IL | ILLINOIS CNM LICENSE |
| 148950-32 | Other | WI | NURSE MIDWIFE |
| 8366-33 | Other | WI | A.P.N.P. |
Other providers in Baldwin, WI
- Katie Kristine Johnson
- Molly Johnston
- Kate Lynn Jones
- Jacqueline Ann Jorgenson
- Emmy Lou Kaczmarski
- Laura Kistner
- Kristo LTD
- Carissa Kusilek
- Kheng Joe Lau
- Christine Lawrenz
All providers in Baldwin, 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 May 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.