Active NPI
Rachel Anne Mortensen, CNM
- Advanced Practice Midwife
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 28858
- Practice address
- 317 N Hickory Ave
Cookeville, TN 38501-2428 - Phone
- (931) 528-7527
- NPI assigned
- Mar 17, 2021
- Last updated
- Apr 20, 2021
- 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 | 28858 | TN | Primary |
Addresses
Primary practice location
317 N Hickory Ave
Cookeville, TN 38501-2428
Mailing address
317 N Hickory Ave
Cookeville, TN 38501-2428
Phone (608) 698-2969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- University of Kentucky College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
317 N Hickory Ave
Cookeville, TN 38501-2428
Phone (931) 528-7527
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28858 | TN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Health TN, PC | Advanced Practice Midwife | Current | Accepting new patients |
Locations
317 N Hickory Ave
Cookeville, TN 38501
Phone (931) 528-7527
300 Stonecrest Blvd
Ste 310
Smyrna, TN 37167
Phone (629) 206-6858
Interoperability endpoints
- rachel.mortensen.1@23211.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Smyrna, TN
- NPI 1457020844
Advanced Practice Midwife
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1861077117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 N HICKORY AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012428",
"telephone_number": "608-698-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 N HICKORY AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012428",
"telephone_number": "931-528-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTENSEN",
"first_name": "RACHEL",
"middle_name": "ANNE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-17",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TN",
"license": "28858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.