Kelly Rickman, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

201704023NP-PP Issued in OR

Practice address

890 Beltline Rd
Springfield, OR 97477-1091

Phone

(541) 654-9076

Fax

(855) 525-4525

NPI assigned

Sep 14, 2015

Last updated

Mar 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krickman351459@direct.peacehealth.org

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.

• Legacy Clinics LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1902827272
  Medicare reassignment NPD
• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Medicare reassignment NPD
• Silverton Health

  dba Legacy Silverton Medical Center

  • General Acute Care Hospital
  • Silverton, OR
  • NPI 1669424354
  Medicare reassignment NPD
• Oregon Birth and Wellness Center

  • Birthing Clinic/Center
  • Springfield, OR
  • NPI 1881272821
  NPD Authorized official
• Eden Midwifery & Wellness

  • Advanced Practice Midwife
  • Springfield, OR
  • NPI 1396496675
  NPD
• Eden Midwifery & Wellness

  • Birthing Clinic/Center
  • Springfield, OR
  • NPI 1740931021
  NPD
• Salem Health

  • Durable Medical Equipment & Medical Supplies
  • Keizer, OR
  • NPI 1487434775
  NPD
• Salem Health

  • Family Medicine Physician
  • Woodburn, OR
  • NPI 1578112066
  NPD
• Silverton Health

  • Clinic/Center
  • Silverton, OR
  • NPI 1407396799

  Advanced Practice Midwife

  NPD
• Silverton Health

  dba Legacy Molalla Family Medicine

  • Clinic/Center
  • Molalla, OR
  • NPI 1861116055
  NPD

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1932577400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 BELTLINE RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771091",
            "telephone_number": "541-515-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 BELTLINE RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771091",
            "telephone_number": "541-654-9076",
            "fax_number": "855-525-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKMAN",
        "first_name": "KELLY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60593727",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201704023NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navdeep Riar, MD
• Morgan Paula Ricci, DO
• Haley Rice
• Richard J Lindquist MD PC
• Richard M Abraham MD PC
• Rachel Ricks, M.S. CCC-SLP
• Courtney Lynn Riedel
• Alicia Riedman, R.D.H.
• Elizabeth Joi Rifkin
• John W Riggs, M.D.

• Advanced Practice Midwife in Springfield, OR
• Providers in Springfield, OR by specialty
• Advanced Practice Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.