Jennifer J Collins, APN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

209018406 Issued in IL

Practice address

6 Westport CT
Bloomington, IL 61704-8233

Phone

(309) 722-4020

Fax

(309) 740-4440

NPI assigned

Nov 20, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Bloomington Normal Birthing Center

  • Birthing Clinic/Center
  • Bloomington, IL
  • NPI 1528438512
  NPD (past)

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1972072882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26141 E WILDLIFE DR",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617479232",
            "telephone_number": "309-532-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WESTPORT CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048233",
            "telephone_number": "309-722-4020",
            "fax_number": "309-740-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26141 E Wildlife Dr",
            "address_purpose": "LOCATION",
            "city": "Hopedale",
            "state": "IL",
            "postal_code": "617479232",
            "country_code": "US",
            "telephone_number": "309-532-3103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "APN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "IL",
            "license": "209.018406",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209018406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Lynn Colbs, PH.D.
• Kaitlin Marie Colclasure
• Bradley J Cole, APRN,NP-C
• Collaborative Solutions Institute
• Abigail Frances Collins, RN, APRN, FNP-C
• Nichelle Collins
• Susan Collins, APRN
• Edward Leslie Colloton, MD
• Kimberly Colwell
• Carolyn K Company, MA, MSED

• Advanced Practice Midwife in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.