Individual provider Active NPI

Janel Delyn Miner, CNM

  • Advanced Practice Midwife
  • Davenport, IA
National Provider Identifier
1770838773
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
B115390 Issued in IA
Practice address
1510 E Rusholme St
Davenport, IA 52803-2463
Phone
(563) 336-3000
Fax
(563) 344-1371
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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 B115390 IA Primary

Addresses

Primary practice location

1510 E Rusholme St
Davenport, IA 52803-2463

Mailing address

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130214000325 IL Practitioner - Certified Nurse Midwife (CNM) 0143474429 Reassigns benefits to 1 organization
I20170227000861 IA Practitioner - Certified Nurse Midwife (CNM) 0143474429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care IncGroup PAC ID 9830008895, shared by 17 NPIs, 56 clinicians

Practice addresses (Care Compare)

1106 4TH Ave
Moline, IL 61265-1231
Phone (563) 327-2000

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
B115390IAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince May 9, 2017 Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc CurrentSince Aug 1, 2019 Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc CurrentSince Mar 6, 2017 Accepting new patients
Genesis Health System CurrentSince May 9, 2017 Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care Inc CurrentSince Mar 6, 2017 Accepting new patients

Locations

925 S 4th St
Clinton, IA 52732
Phone (563) 205-3578

500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035

1510 E Rusholme St
Davenport, IA 52803
Phone (563) 359-6633

619 5th St
Durant, IA 52747
Phone (563) 785-4487

1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817

2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000

Interoperability endpoints

  • Direct secure messaging: jminer635548@direct.ochin.org

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1770838773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W RIVER DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011014",
            "telephone_number": "563-336-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032463",
            "telephone_number": "563-336-3000",
            "fax_number": "563-344-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "JANEL",
        "middle_name": "DELYN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B115390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.