Active NPI
Jennifer Stoffers, CNM
- Advanced Practice Midwife
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R1472284
- Practice address
- 9825 Hospital Dr #205
Maple Grove, MN 55369 - Phone
- (763) 587-7000
- Fax
- (763) 587-7015
- NPI assigned
- Dec 23, 2005
- Sex
- Female
- Sole proprietor
- No
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 | R1472284 | MN | Primary |
Addresses
Primary practice location
9825 Hospital Dr #205
Maple Grove, MN 55369
Mailing address
5700 Bottineau Blvd #210
Crystal, MN 55429
Phone (763) 587-7000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1472284 | MN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier OBGYN of Minnesota PLLC | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Maple Grove Hospital Corporation | Past | Accepting new patients | |
| Metropolitan Obstetrics & Gynecology | Past | Accepting new patients |
Locations
11855 Ulysses St NE
Ste 240
Blaine, MN 55434
9825 Hospital Dr
Ste 205
Maple Grove, MN 55369
Phone (763) 587-7000
5700 Bottineau Blvd
Ste 210
Minneapolis, MN 55429
Phone (763) 330-2774
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
15535 34th Ave N
Ste 200
Plymouth, MN 55447
3007 Harbor Ln N
Ste 1400
Plymouth, MN 55447
Phone (763) 587-7000
15535 34th Ave N
Plymouth, MN 55447
Phone (763) 581-5950
Interoperability endpoints
- jennifer.stoffers.1@20897.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
- Obstetrics & Gynecology Physician
- Edina, MN
- NPI 1801946223
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
-
- Obstetrics & Gynecology Physician
- St Paul, MN
- NPI 1659355741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1851378467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 BOTTINEAU BLVD #210",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "55429",
"telephone_number": "763-587-7000",
"fax_number": "763-587-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 HOSPITAL DR #205",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "55369",
"telephone_number": "763-587-7000",
"fax_number": "763-587-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOFFERS",
"first_name": "JENNIFER",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MN",
"license": "R1472284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.