Individual provider Active NPI

Jenna Rose Clifford, CNM

  • Advanced Practice Midwife
  • Cranston, RI
National Provider Identifier
1760078679
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM00215 Issued in RI
Practice address
1150 Reservoir Ave Ste 300
Cranston, RI 02920-6032
Phone
(401) 223-2828
Fax
(401) 223-2825
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM00215 RI Primary

Addresses

Primary practice location

1150 Reservoir Ave Ste 300
Cranston, RI 02920-6032

Mailing address

25 Watch HL
East Greenwich, RI 02818-1671
Phone (401) 223-2828

Other names 1

  • Jenna Rose Bartlett Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address jclifford393981@CarolinasHealthcareSystem.direct-ci.com Atrium Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, RI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210223000231 NC Practitioner - Certified Nurse Midwife (CNM) 2961817093 Reassigns benefits to 1 organization
I20210504001666 SC Practitioner - Certified Nurse Midwife (CNM) 2961817093 Reassigns benefits to 1 organization
I20240611004202 RI Practitioner - Certified Nurse Midwife (CNM) 2961817093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Venus OB-GYN IncGroup PAC ID 5092075226, 6 clinicians

Practice addresses (Care Compare)

1150 Reservoir Ave
Suite 300
Cranston, RI 02920-6043
Phone (401) 223-2828

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
778NCMDSpecialist
24625SCMDSports Medicine (Family Medicine) Physician
CNM00215RIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Jan 10, 2022 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 10, 2022 Accepting new patients
Venus OB-GYN Inc CurrentSince May 6, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 10, 2022 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

15110 John J Delaney Dr
Ste 100
Charlotte, NC 28277
Phone (704) 512-5100

1150 Reservoir Ave
Ste 300
Cranston, RI 02920
Phone (401) 223-2828

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

77 Turnpike Ave
Portsmouth, RI 02871
Phone (401) 683-2290

704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405

1656 Riverchase Blvd
Ste 3600
Rock Hill, SC 29732
Phone (803) 324-7606

Interoperability endpoints

  • Direct secure messaging: jclifford393981@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1760078679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WATCH HL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181671",
            "telephone_number": "401-223-2828",
            "fax_number": "401-223-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 300",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206032",
            "telephone_number": "401-223-2828",
            "fax_number": "401-223-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "JENNA",
        "middle_name": "ROSE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "RI",
            "license": "CNM00215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jclifford393981@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "15110 John J Delaney Dr",
            "address_2": "Ste 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282773544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BARTLETT",
            "middle_name": "ROSE",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.