Active NPI
Jourdon Quinn Jaye Wichman, APRN-CNM
- Advanced Practice Midwife
- Winifred, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- NUR-APRN-LIC-176408
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-RN-LIC-70073 | MT | MD | Inpatient Obstetric Registered Nurse |
| NUR-APRN-LIC-176408 | MT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powell Valley Health Care Inc | Current | Accepting new patients | |
| Powell Valley Healthcare Inc | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Juno Wellness, LLC | Advanced Practice Midwife | Past | 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.
-
- Critical Access Hospital
- Powell, WY
- NPI 1497753115
-
dba Powell Valley Clinic
- Family Medicine Physician
- Powell, WY
- NPI 1699721316
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; 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.