Individual provider Active NPI

Jourdon Quinn Jaye Wichman, APRN-CNM

  • Advanced Practice Midwife
  • Winifred, MT
National Provider Identifier
1902471634
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NUR-APRN-LIC-176408 Issued in MT
Practice address
PO Box 81
Winifred, MT 59489-0081
Phone
(406) 390-1276
Fax
(800) 853-6531
NPI assigned
May 25, 2021
Last updated
Sep 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NUR-APRN-LIC-176408 MT Primary
Inpatient Obstetric Registered Nurse 163WX0003X NUR-RN-LIC-70073 MT

Addresses

Primary practice location

PO Box 81
Winifred, MT 59489-0081

Mailing address

PO Box 81
Winifred, MT 59489-0081
Phone (406) 390-1276

Other practice location 1

302 4th Ave
Havre, MT 59501-3654
Phone (406) 265-5481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512002330 WY Practitioner - Certified Nurse Midwife (CNM) 4284031428 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
NUR-RN-LIC-70073MTMDInpatient Obstetric Registered Nurse
NUR-APRN-LIC-176408MTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Powell Valley Health Care Inc CurrentSince May 15, 2025 Accepting new patients
Powell Valley Healthcare Inc CurrentSince May 15, 2025 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Juno Wellness, LLC Advanced Practice Midwife PastSince Oct 1, 2023 Accepting new patients

Locations

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

450 Mountain View St
Bldg C
Powell, WY 82435
Phone (307) 254-0661

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1902471634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "WINIFRED",
            "state": "MT",
            "postal_code": "594890081",
            "telephone_number": "406-390-1276",
            "fax_number": "800-853-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "WINIFRED",
            "state": "MT",
            "postal_code": "594890081",
            "telephone_number": "406-390-1276",
            "fax_number": "800-853-6531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Havre",
            "state": "MT",
            "postal_code": "595013654",
            "country_code": "US",
            "telephone_number": "406-265-5481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICHMAN",
        "first_name": "JOURDON",
        "middle_name": "QUINN JAYE",
        "credential": "APRN-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MT",
            "license": "NUR-APRN-LIC-176408",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "MT",
            "license": "NUR-RN-LIC-70073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winifred, MT

Sources for this page

Verify at the official NPI Registry.