Jessica Braman, CNMW
Individual provider Active NPI Advanced Practice Midwife · Ann Arbor, MI
NPI 1770147324 · NPPES record last updated Jun 7, 2024
Key facts
- NPI
- 1770147324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 4704302461 (MI)
- Practice address
- 4200 Whitehall Dr Ste 350
Ann Arbor, MI 48105-9694 - Phone
- (734) 572-9600
- Fax
- (734) 572-0616
- NPI assigned
- Apr 30, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190517001532 | MI | Practitioner - Certified Nurse Midwife (CNM) | 6901149780 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704302461 | MI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Service Corporation | Current |
Accepting new patients | |
| Iha Olma Specialty Services LLC | Current |
Accepting new patients | |
| Iha Health Services Corporation | Current |
Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Olma Specialty Services LLC | Current |
Accepting new patients | |
| Iha Health Services Corporation | Past | Accepting new patients |
Locations
4200 Whitehall Dr
Ste 350
Ann Arbor, MI 48105
Phone (734) 572-9600
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
1750 S Telegraph Rd
Ste 108A
Bloomfield Hills, MI 48302
Phone (248) 334-3213
1750 S Telegraph Rd
Ste 108
Bloomfield Hills, MI 48302
Phone (248) 334-4505
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
1854 W Auburn Rd
Ste 100B
Rochester Hills, MI 48309
Phone (248) 218-9260
4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500
Interoperability endpoints
- jbraman1899943@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 4704302461 | MI | Yes |
Addresses
Primary practice location
4200 Whitehall Dr Ste 350
Ann Arbor, MI 48105-9694
Mailing address
24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Other providers in Ann Arbor, MI
- Colleen Morin Brainard
- Braintrainers LLC
- Annika Michele Brakebill
- Linda A.W. Brakel
- Tiffany Joy Braley
- Jordan Braman
- Katherine Bramble
- Candace R Bramson
- Barbaranne Branca
- Maija Annikki Branch
All providers in Ann Arbor, MI · Advanced Practice Midwife in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.