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13TH MOON MIDWIFERY
NPI 1295023893
Clinic/Center - Health Service in Fort Collins, CO

Active since July 16, 2011
2614 W VINE DR, FORT COLLINS, CO 80521(970) 227-3555(970) 822-0455 Get Directions Write a Review

NPPES record last updated: November 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 24, 2024, Nov 11, 2022 (2 updates tracked since 2022).

About 13th Moon Midwifery NPPES

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

13TH MOON MIDWIFERY (NPI 1295023893) is a healthcare organization registered as a health service in Fort Collins, Colorado and active in the NPI registry since July 2011. The organization lists Carol Roedocker, Cnm/owner, as its authorized official.

NPPES Registry Identity

NPI1295023893
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameTHIRTEENTH MOON MIDWIFERY
Location Address2614 W VINE DRFort Collins, CO 80521-1504
Mailing Address2614 W Vine DrFort Collins, CO 80521-1504 · (970) 227-3555 · Fax (970) 822-0455
Phone(970) 227-3555
Fax(970) 822-0455
Organization SubpartNo
Authorized OfficialCarol RoedockerCnm/owner · (970) 227-3555
Enumeration DateJuly 16, 2011
Last NPPES UpdateNovember 24, 20242 updates tracked since enumeration
NPPES CertifiedNovember 24, 2024
✔ NPI 1295023893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in CO · RN118053
2614 W VINE DR, Fort Collins, CO 80521
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Other Names 1

Doing Business As13th Moon Midwifery

Other Identifiers 1

Medicaid10788263CO

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

13th Moon Midwifery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 13th Moon Midwifery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carol Roedocker, CNM
Certified Nurse Midwife (CNM)
NPI 1508160169
2614 W VINE DR
Fort Collins, CO 80521
(970) 227-3555
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Thirteenth Moon Midwifery's NPI number?

The NPI number for Thirteenth Moon Midwifery is 1295023893. It was assigned to this organization in the NPPES registry on July 16, 2011. The provider is doing business as 13th Moon Midwifery.

Where is Thirteenth Moon Midwifery located?

Thirteenth Moon Midwifery is located at 2614 W Vine Dr, Fort Collins, CO 80521. The listed phone number is (970) 227-3555.

What is Thirteenth Moon Midwifery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Thirteenth Moon Midwifery enrolled in Medicare?

Yes. Thirteenth Moon Midwifery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thirteenth Moon Midwifery?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Nurse Midwife (CNM)) reassigns their Medicare billing to Thirteenth Moon Midwifery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thirteenth Moon Midwifery was last updated on November 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.