Ashley Blaine, CNM - Medicare Advanced Practice Midwife in Brooklyn Center, MN

Ashley Blaine, CNM is a medicare enrolled "Advanced Practice Midwife" in Brooklyn Center, Minnesota. Her current practice location is 6000 Earle Brown Dr, Brooklyn Center, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-4900.

Ashley Blaine is licensed to practice in Minnesota (license number 473) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174291504.

Contact Information

Ashley Blaine, CNM
6000 Earle Brown Dr,
Brooklyn Center, MN 55430-2506
(952) 993-4900
(952) 993-4827



Provider's Profile

Full NameAshley Blaine
GenderFemale
SpecialityAdvanced Practice Midwife
Location6000 Earle Brown Dr, Brooklyn Center, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174291504
  • Provider Enumeration Date: 08/31/2021
  • Last Update Date: 02/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406240035
  • Enrollment ID: I20220224003043

Medical Identifiers

Medical identifiers for Ashley Blaine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174291504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 473 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ashley Blaine allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Blaine is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ashley Blaine, CNM
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -
Ashley Blaine, CNM
6000 Earle Brown Dr,
Brooklyn Center, MN 55430-2506

Ph: (952) 993-4900

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Advanced Practice Midwife Nurses in Brooklyn Center, MN

Patricia Haroldson, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430
Phone: 952-993-4900    
Sabrina Sophie Zionts, CNM, WHNP-BC
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430
Phone: 952-993-4900    Fax: 952-993-4827
Colleen Kay Rusch, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 6845 Lee Ave N, Mail Stop 31400a, Brooklyn Center, MN 55429
Phone: 763-569-0300    Fax: 763-569-0311

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