Individual provider Active NPI

Katelyn Weeres

  • Advanced Practice Midwife
  • Rosemount, MN
National Provider Identifier
1952180739
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
540 Issued in MN
Practice address
7105 163Rd St W
Rosemount, MN 55068-1036
Phone
(952) 797-3418
NPI assigned
Sep 21, 2023
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 540 MN Primary

Addresses

Primary practice location

7105 163Rd St W
Rosemount, MN 55068-1036

Mailing address

7105 163Rd St W
Rosemount, MN 55068-1036
Phone (952) 797-3418

Other names 1

  • Katie Weeres Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20241029003546 MN Practitioner - Certified Nurse Midwife (CNM) 2466985445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Minnesota Medical School, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Womens Care PAGroup PAC ID 9638329394, 44 clinicians

Practice addresses (Care Compare)

1687 Woodlane Dr
Suite 101
Woodbury, MN 55125-3046
Phone (651) 600-3035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Women's Care, P.a. CurrentSince Sep 21, 2024 Accepting new patients
Comprehensive Healthcare for Women, PA CurrentSince Sep 21, 2024 Accepting new patients
Healtheast St. John's Hospital Past Accepting new patients

Locations

2603 White Bear Ave N
Saint Paul, MN 55109
Phone (651) 209-8125

1687 Woodlane Dr
Woodbury, MN 55125
Phone (651) 209-6685

1687 Woodlane Dr
Ste 101
Woodbury, MN 55125
Phone (651) 209-6263

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA

Organizations & group practices 3

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1952180739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 163RD ST W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550681036",
            "telephone_number": "952-797-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 163RD ST W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550681036",
            "telephone_number": "952-797-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEERES",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "WEERES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rosemount, MN

Sources for this page

Verify at the official NPI Registry.