Individual provider Active NPI

Zoe Siobhan Bates, CNM

  • Advanced Practice Midwife
  • Saint Clair Shores, MI
National Provider Identifier
1770110876
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704242436 Issued in MI
Practice address
19714 E 10 Mile Rd
Saint Clair Shores, MI 48080-1064
Phone
(586) 779-9400
NPI assigned
Mar 26, 2020
Last updated
Mar 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704242436 MI Primary
Midwife 176B00000X 4704242436 MI

Addresses

Primary practice location

19714 E 10 Mile Rd
Saint Clair Shores, MI 48080-1064

Mailing address

2073 Hampton Rd
Grosse Pointe Woods, MI 48236-1325
Phone (313) 799-0905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221119000356 MI Practitioner - Certified Nurse Midwife (CNM) 0244608461 Reassigns benefits to 1 organization

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
Together Women's Health Medical Group, P.C.Group PAC ID 2466543640, 74 clinicians

Practice addresses (Care Compare)

29751 Little Mack Ave
Suite B
Roseville, MI 48066-6504
Phone (586) 415-6200

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704242436MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women's Health Medical Group, P.C. CurrentSince Sep 6, 2022 Accepting new patients
St Clair Shores Obstetrics and Gynecolgy, PLC PastSince Mar 29, 2020 Accepting new patients
St Clair Shores Obstetrics and Gynecology, PLC PastSince Mar 29, 2020 Accepting new patients

Locations

16815 E Jefferson Ave
Ste 230
Grosse Pointe, MI 48230

29751 Little Mack Ave
Ste B
Roseville, MI 48066

Interoperability endpoints

  • Direct secure messaging: zoe.bates.1@23349.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1770110876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 HAMPTON RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361325",
            "telephone_number": "313-799-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19714 E 10 MILE RD",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801064",
            "telephone_number": "586-779-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "ZOE",
        "middle_name": "SIOBHAN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704242436",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MI",
            "license": "4704242436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.