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

Q: 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.

Q: What is Connie Rudolph's specialty?

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

Q: 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.

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: August 23, 2026.

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

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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

Medicare Participation & PECOS CMS

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

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.

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)