MRS. JENNETTE MARIE HOLLISTER CNM
NPI 1164195699
Midwife in Rockford, IL

Q: What is Jennette Hollister's NPI number?

The NPI number for Jennette Hollister is 1164195699. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Q: What is Jennette Hollister's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Active since July 29, 2021PECOS EnrolledAccepts Medicare Assignment

1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600(815) 490-1881 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Jennette Marie Hollister Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNETTE MARIE HOLLISTER CNM (NPI 1164195699) is an individual midwife in Rockford, Illinois and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164195699

Entity TypeIndividualFemale

Primary Taxonomy176B00000X

Provider Legal NameMRS. JENNETTE MARIE HOLLISTERCredential: CNM

Location Address1200 W STATE STRockford, IL 61102-2112

Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1600 · Fax (815) 490-1881

Phone(815) 490-1600

Fax(815) 490-1881

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 29, 2021

NPPES CertifiedJuly 29, 2021

✔ NPI 1164195699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers

Taxonomy Code176B00000X

Definition

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.

1200 W STATE ST, Rockford, IL 61102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennette Marie Hollister Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466818836

PECOS Enrollment IDI20230510002396

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARYN ANN RUZIC APRN

Nurse Practitioner (Family)