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CONNIE JAYNE RUDOLPH CNM
NPI 1396086591
Advanced Practice Midwife in Sarasota, FL

Active since March 13, 2013PECOS Enrolled
1700 S TAMIAMI TRL, SARASOTA, FL 34239(941) 917-2600 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2024, Jun 22, 2023, Oct 27, 2022 and 3 more (6 updates tracked since 2016).

About Connie Jayne Rudolph Cnm NPPES

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

CONNIE JAYNE RUDOLPH CNM (NPI 1396086591) is an individual advanced practice midwife in Sarasota, Florida, licensed in Florida (ARNP9432470) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1396086591
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameCONNIE JAYNE RUDOLPHCredential: CNM
Location Address1700 S TAMIAMI TRLSarasota, FL 34239-3509
Mailing AddressPo Box 947407Atlanta, GA 30394-7407 · (941) 917-2600 · Fax (941) 917-7884
Phone(941) 917-2600
Sole ProprietorNo
Enumeration DateMarch 13, 2013
Last NPPES UpdateMay 15, 20246 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1396086591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in FL · ARNP9432470
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.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License ARNP9432470 (FL)
1700 S TAMIAMI TRL, Sarasota, FL 34239
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Secondary Practice Location 1

Location 1625 6th Ave S Ste 350St Petersburg, FL 33701-4619 · Phone (727) 456-0080 ext. 1 · Fax (727) 456-0089

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connie Jayne Rudolph Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Connie Rudolph reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smh Physician Services Inc
0.1 mi
Internal Medicine
1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239
  • Reassigned Medicare billing, Florida enrollment
  • 956 clinicians in this Medicare group
NPI 1346295292 (941) 917-8720
Women's Care Florida LLC
45 mi
Obstetrics & Gynecology
4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Womens Care Florida LLC
  • 679 clinicians in this Medicare group
NPI 1013902923 (813) 286-0333
Womens' Health Hospitalists, LLC
45 mi
Obstetrics & Gynecology
4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 619 clinicians in this Medicare group
NPI 1205295599 (813) 286-0333

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 20

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

DR. ELIJAH KIM M.D.
Surgery (Surgical Critical Care)
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-9000
DR. ENRICO V VINTAYEN MD
Psychiatry & Neurology (Neurology)
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-4896
VIRALKUMAR PATEL MD
Internal Medicine
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-4896
DR. MAHA HAMEED MBBS
Student in an Organized Health Care Education/Training Program
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-7799
ELIZABETH FERNANDEZ PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 262-7727
RODES ACKERMAN PHARMD
Pharmacist
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-3131
MAYURI JINDAL M.D.
Pediatrics
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-7490
STEVEN MICHAEL PAPUCHIS DO
Physical Medicine & Rehabilitation (Sports Medicine)
1700 S TAMIAMI TRL
SARASOTA, FL 34239
Sarasota County (941) 917-8561

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 Connie Rudolph's NPI number?

The NPI number for Connie Rudolph is 1396086591. It was assigned to this individual provider in the NPPES registry on March 13, 2013.

Where is Connie Rudolph located?

Connie Rudolph practices at 1700 S Tamiami Trl, Sarasota, FL 34239. The listed phone number is (941) 917-2600.

What is Connie Rudolph's specialty?

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

Is Connie Rudolph enrolled in Medicare?

Yes. Connie Rudolph is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Connie Rudolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connie Rudolph reassigns Medicare benefits to 3 organizations: Smh Physician Services Inc (Sarasota, FL), Women's Care Florida LLC (Tampa, FL) and Womens' Health Hospitalists, LLC (Tampa, FL). Each 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 Connie Rudolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Connie Rudolph accept?

Health plans from Oscar Health Maintenance Organization of Florida list Connie Rudolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Connie Rudolph was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.