Individual provider Active NPI

Jennifer Ting, CNM

  • Advanced Practice Midwife
  • Carbondale, IL
National Provider Identifier
1912687336
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209.027857 Issued in IL
Practice address
101 S Wall St
Carbondale, IL 62901-3021
Phone
(618) 519-9200
Fax
(618) 519-9404
NPI assigned
Jul 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209.027857 IL Primary

Addresses

Primary practice location

101 S Wall St
Carbondale, IL 62901-3021

Mailing address

109 California St
PO Box 577
Carterville, IL 62918
Phone (618) 519-9200

Other names 1

  • Jennifer Rambeau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230825001615 IL Practitioner - Certified Nurse Midwife (CNM) 9133582091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 S Wall St
Carbondale, IL 62901-3021
Phone (618) 519-9200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp Current Accepting new patients
Rural Health, Inc. CurrentSince Oct 2, 2023 Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Sep 11, 2023 Accepting new patients
Rural Health, Inc. CurrentSince Oct 2, 2023 Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Sep 11, 2023 Accepting new patients
Rural Health, Inc. Past Accepting new patients
Shawnee Health Service and Development Corp Past Accepting new patients
Shawnee Health Service and Development Corp Past Accepting new patients

Locations

513 N Main St
Anna, IL 62906
Phone (618) 833-4471

101 S Wall St
Carbondale, IL 62901
Phone (618) 529-0991

1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841

109 California St
Carterville, IL 62918
Phone (618) 985-8221

1506 Sioux Dr
Marion, IL 62959
Phone (618) 997-5270

Interoperability endpoints

  • Direct secure messaging: jennifer.ting.1@7601.direct.athenahealth.com
  • Direct secure messaging: jennifer.ting.1@14668.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1912687336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA ST",
            "address_2": "PO BOX 577",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "62918",
            "telephone_number": "618-519-9200",
            "fax_number": "618-985-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WALL ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013021",
            "telephone_number": "618-519-9200",
            "fax_number": "618-519-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TING",
        "first_name": "JENNIFER",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.027857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RAMBEAU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.