Penny Menke, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

0927620 Issued in MN

Practice address

1737 Beam Ave
Maplewood, MN 55109-2185

Phone

(651) 770-3320

Fax

(651) 770-3684

NPI assigned

Mar 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Penny Morin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Generations Women'S Health Center, P.a.

  • Obstetrics & Gynecology Physician
  • Shoreview, MN
  • NPI 1447358130
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1790752608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092185",
            "telephone_number": "651-770-3320",
            "fax_number": "651-770-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092185",
            "telephone_number": "651-770-3320",
            "fax_number": "651-770-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKE",
        "first_name": "PENNY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "0927620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "783717800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "MORIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carol Elaine Mecklenburg, PHD LP
• Kimberly A Meegan
• Brian Martin Meger, PHARMD, RPH
• Bonnita Helen Gruell Meingast, OTRL
• Georgiann Marie Melton, PSYCHOTHERAPIST
• Alexandra Mercel, D.O.
• Metro Health Care Services LLC
• Metro Nursing Services LLC
• Metropolitan State University
• Brandi Sue Meyer, LAT,PTA

• Advanced Practice Midwife in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Advanced Practice Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.