Individual provider Active NPI

Rebekah Ann Kroeger, DNP, CNM

  • Advanced Practice Midwife
  • Cambridge, MD
National Provider Identifier
1942692132
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R190981 Issued in MD
Practice address
503 Muir St Ste a
Cambridge, MD 21613-1848
Phone
(410) 228-4045
Fax
(833) 908-2286
NPI assigned
Feb 24, 2015
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X
Advanced Practice Midwife 367A00000X LK-0010227 DE
Advanced Practice Midwife 367A00000X R190981 MD Primary

Addresses

Primary practice location

503 Muir St Ste a
Cambridge, MD 21613-1848

Mailing address

503 Muir St Ste a
Cambridge, MD 21613-1848
Phone (410) 228-4045

Other practice location 1

401 Purdy St
Easton, MD 21601-4060
Phone (410) 820-0038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150708000213 MD Practitioner - Certified Nurse Midwife (CNM) 7113239989 Reassigns benefits to 3 organizations
I20231021000486 DE Practitioner - Certified Nurse Midwife (CNM) 7113239989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LK-0010227DEMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Nov 1, 2023 Accepting new patients
Choptank Community Health System Inc CurrentSince Feb 6, 2023 Accepting new patients
Choptank Community Health System Inc CurrentSince Feb 6, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince May 24, 2023 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Nov 1, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince May 24, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 25, 2016 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 25, 2016 Accepting new patients
Shore Health System, Inc Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

219 S Washington St
Easton, MD 21601

401 Purdy St
Ste 102
Easton, MD 21601
Phone (410) 505-8948

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

Interoperability endpoints

  • Direct secure messaging: rebekah.kroeger.1@20853.direct.athenahealth.com
  • Direct secure messaging: rkroeger483484@direct.umm.edu

Organizations & group practices 10

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1942692132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MUIR ST STE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131848",
            "telephone_number": "410-228-4045",
            "fax_number": "833-908-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MUIR ST STE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131848",
            "telephone_number": "410-228-4045",
            "fax_number": "833-908-2286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Purdy St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216014060",
            "country_code": "US",
            "telephone_number": "410-820-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROEGER",
        "first_name": "REBEKAH",
        "middle_name": "ANN",
        "credential": "DNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DE",
            "license": "LK-0010227",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R190981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.