Active NPI
Jennifer Lang, APN, CNM
- Advanced Practice Midwife
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 20788
- Practice address
- 1723 Broadway St Ste 315
Cape Girardeau, MO 63701-4556 - Phone
- (573) 388-4846
- Fax
- (573) 388-7635
- NPI assigned
- Dec 11, 2015
- 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 | 20788 | TN | Primary |
Addresses
Primary practice location
1723 Broadway St Ste 315
Cape Girardeau, MO 63701-4556
Mailing address
PO Box 1068
Sikeston, MO 63801-1068
Phone (573) 471-0330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891160164 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170524001254 | MO | Practitioner - Certified Nurse Midwife (CNM) | 9931402393 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- University of Cincinnati College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 N Mount Auburn Rd
Cape Girardeau, MO 63701-3437
Phone (573) 339-1101
Hospital & facility affiliations
- Mercy Hospital Southeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20788 | TN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paige Gernt LLC | Current | Accepting new patients | |
| Michael S Pippin MD PC | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Current | Accepting new patients | |
| Christine Pham PLLC | Current | Accepting new patients | |
| Southeast Hospital | Past | Accepting new patients |
Locations
650 S Mount Auburn Rd
Ste 200
Cape Girardeau, MO 63703
Phone (573) 339-1101
1111 N Mount Auburn Rd
Cpe Girardeau, MO 63701
Phone (573) 332-6000
1723 Broadway St
Ste 315
Cpe Girardeau, MO 63701
Phone (573) 332-0226
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
1012 N Main St
Sikeston, MO 63801
Phone (573) 471-0330
317 N Hickory Ave
Cookeville, TN 38501
Phone (931) 528-7527
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
- Cape Girardeau, MO
- NPI 1558311522
MO
-
- Obstetrics & Gynecology Physician
- Cookeville, TN
- NPI 1265751283
-
- Obstetrics & Gynecology Physician
- Cookeville, TN
- NPI 1578660841
-
- Obstetrics & Gynecology Physician
- Cookeville, TN
- NPI 1689771966
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1891160164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1068",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638011068",
"telephone_number": "573-471-0330",
"fax_number": "573-481-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 BROADWAY ST STE 315",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637014556",
"telephone_number": "573-388-4846",
"fax_number": "573-388-7635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "APN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TN",
"license": "20788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891160164",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.