Individual provider Active NPI

Cheryl I Hinshaw, CNM

  • Advanced Practice Midwife
  • Roseburg, OR
National Provider Identifier
1982642542
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
2460 NW Stewart Pkwy
Suite 240
Roseburg, OR 97470-1516
Phone
(541) 677-4427
Fax
(541) 677-6522
NPI assigned
Jun 3, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X OR
Advanced Practice Midwife 367A00000X OR Primary

Addresses

Primary practice location

2460 NW Stewart Pkwy
Suite 240
Roseburg, OR 97470-1516

Mailing address

PO Box 568
Winchester, OR 97495-0568
Phone (541) 677-4427

Other identifiers 1

IdentifierTypeStateIssuer
100347MedicaidOR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080619000299 OR Practitioner - Certified Nurse Midwife (CNM) 0749214484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone (541) 672-9596

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200250165NP WHCNP-PPORMDObstetrics & Gynecology Nurse Practitioner
200550131NP NMNP-PPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Umpqua Community Health Center, Inc. Current Accepting new patients
Umpqua Community Health Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Umpqua Community Health Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients

Locations

150 NE Kenneth Ford Dr
Roseburg, OR 97470

2460 NW Stewart Pkwy
Ste 240
Roseburg, OR 97471
Phone (541) 677-4427

Interoperability endpoints

  • Direct secure messaging: cheryl.hinshaw.1@17792.direct.athenahealth.com
  • Direct secure messaging: cheryl.hinshaw.1@26332.direct.athenahealth.com

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.

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1982642542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "WINCHESTER",
            "state": "OR",
            "postal_code": "974950568",
            "telephone_number": "541-677-4427",
            "fax_number": "541-677-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 NW STEWART PKWY",
            "address_2": "SUITE 240",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701516",
            "telephone_number": "541-677-4427",
            "fax_number": "541-677-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSHAW",
        "first_name": "CHERYL",
        "middle_name": "I",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100347",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.