Active NPI
Antionette Renee Estis
- Advanced Practice Midwife
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 407
- Practice address
- 153 Cesar Chavez St
Saint Paul, MN 55107-2226 - Phone
- (651) 602-7500
- NPI assigned
- Aug 13, 2019
- Last updated
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 407 | MN | Primary |
Addresses
Primary practice location
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Mailing address
380 E Lafayette Frontage Rd Ste 200
Saint Paul, MN 55107-1216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
347 Smith Ave N
Suite 203
St Paul, MN 55102-2388
Phone (651) 241-7733
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| NPI 1083910871 | Past | Accepting new patients | |
| Planned Parenthood Minnesota, North Dakota, South Dakota | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
347 Smith Ave N
Ste 203
Saint Paul, MN 55102
Phone (651) 241-7733
895 7th St E
Saint Paul, MN 55106
Phone (651) 793-2250
4194 Lexington Ave N
Shoreview, MN 55126
Phone (651) 483-5461
153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816
Interoperability endpoints
- testis615174@excellian.direct.allina.com
Organizations & group practices 10
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.
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
dba McDonough Homes Clinic
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1821149964
-
dba Allina Health Shoreview Clinic
- Family Medicine Physician
- Shoreview, MN
- NPI 1336445071
-
dba Allina Health United Women's Health Clinic
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1376849729
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1023201811
-
dba MINNESOTA COMMUNITY CARE MBC - St. Paul
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1043187289
-
- NPI 1083910871
-
- Non-Surgical Family Planning Clinic/Center
- Saint Paul, MN
- NPI 1629057146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1831745025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 E LAFAYETTE FRONTAGE RD STE 200",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551071216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 CESAR CHAVEZ ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551072226",
"telephone_number": "651-602-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTIS",
"first_name": "ANTIONETTE",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MN",
"license": "407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.