RENEE DETTLOFF CNM
NPI 1285170951
Advanced Practice Midwife in Santa Rosa, CA

Active since January 18, 2017PECOS Enrolled
583 SUMMERFIELD RD, SANTA ROSA, CA 95405(707) 539-1544 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 24, 2019, Jan 18, 2017 (2 updates tracked since 2017).

About Renee Dettloff Cnm NPPES

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

RENEE DETTLOFF CNM (NPI 1285170951) is an individual advanced practice midwife in Santa Rosa, California, licensed in California (236013) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285170951
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameRENEE DETTLOFFCredential: CNM
Location Address583 SUMMERFIELD RDSanta Rosa, CA 95405-5239
Mailing Address1409 Yarberry LnPetaluma, CA 94954-1601
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 18, 2017
Last NPPES UpdateJanuary 24, 20192 updates tracked since enumeration
NPI 1285170951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in CA · 236013
Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

583 SUMMERFIELD RD, Santa Rosa, CA 95405

Secondary Practice Location 1

Location 1118 E Benton StGreenville, MI 48838-2333 · Phone (616) 258-2386

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Renee Dettloff Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931535226
PECOS Enrollment IDI20200205000271
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Advanced Practice Midwife
583 SUMMERFIELD RD
SANTA ROSA, CA 95405
Clinic/Center (Birthing)
583 SUMMERFIELD RD
SANTA ROSA, CA 95405
Advanced Practice Midwife
583 SUMMERFIELD RD
SANTA ROSA, CA 95405
Advanced Practice Midwife
583 SUMMERFIELD RD
SANTA ROSA, CA 95405
Advanced Practice Midwife
583 SUMMERFIELD RD
SANTA ROSA, CA 95405
Advanced Practice Midwife
583 SUMMERFIELD RD
SANTA ROSA, CA 95405
Advanced Practice Midwife
583 SUMMERFIELD RD
SANTA ROSA, CA 95405
Advanced Practice Midwife
583 SUMMERFIELD RD
SANTA ROSA, CA 95405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Dettloff's NPI number?

The NPI number for Renee Dettloff is 1285170951. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is Renee Dettloff located?

Renee Dettloff practices at 583 Summerfield Rd, Santa Rosa, CA 95405. The listed phone number is (707) 539-1544.

What is Renee Dettloff's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Renee Dettloff enrolled in Medicare?

Yes. Renee Dettloff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Renee Dettloff was last updated on January 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.