Individual provider Active NPI

Rachel McCormack, CNM, RN

  • Advanced Practice Midwife
  • Hillsdale, MI
National Provider Identifier
1952953069
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0994062 Issued in CO
Practice address
451 Hidden Meadows Dr Ste 220
Hillsdale, MI 49242
Phone
(517) 437-8292
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1620386 CO
Advanced Practice Midwife 367A00000X 0994062 CO Primary

Addresses

Primary practice location

451 Hidden Meadows Dr Ste 220
Hillsdale, MI 49242

Mailing address

451 Hidden Meadows Dr Ste 220
Hillsdale, MI 49242-9812
Phone (517) 437-8292

Other practice location 1

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-5141

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HIE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190820003254 MI Practitioner - Certified Nurse Midwife (CNM) 8527396100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Cincinnati College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-4451

451 Hidden Meadows Dr
Hillsdale, MI 49242-9812

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1620386COMDRegistered Nurse
0994062COMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsdale Community Health Center CurrentSince Aug 25, 2019 Accepting new patients

Locations

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

451 Hidden Meadows Dr
Ste 220
Hillsdale, MI 49242
Phone (517) 437-5395

Interoperability endpoints

  • Direct secure messaging: rmccormack221140@direct.parkviewexchange.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1952953069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 HIDDEN MEADOWS DR STE 220",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429812",
            "telephone_number": "517-437-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HIDDEN MEADOWS DR STE 220",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "49242",
            "telephone_number": "517-437-8292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 S Howell St",
            "address_purpose": "LOCATION",
            "city": "Hillsdale",
            "state": "MI",
            "postal_code": "492422040",
            "country_code": "US",
            "telephone_number": "517-437-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "RACHEL",
        "credential": "CNM, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1620386",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "0994062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "address_1": "168 S Howell St",
            "city": "Hillsdale",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492422040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.