1. Home
  2. Directory
  3. Wisconsin
  4. Black River Falls
  5. Nurse Practitioner
  6. NPI Profile

FOOTPRINTS IN TIME MIDWIFERY SERVICES LLC
NPI 1437438157
Nurse Practitioner in Black River Falls, WI

Active since August 11, 2011CLIA 52D2030978 · Waiver
502 MAIN ST, BLACK RIVER FALLS, WI 54615(715) 284-2003(844) 285-4399 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Nov 12, 2021, Dec 21, 2018 and 2 more (5 updates tracked since 2016).

About Footprints In Time Midwifery Services Llc NPPES

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

FOOTPRINTS IN TIME MIDWIFERY SERVICES LLC (NPI 1437438157) is a healthcare organization registered as a nurse practitioner in Black River Falls, Wisconsin and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through October 9, 2027, maintains a secondary practice location in Greenwood, and lists Rebecca L Amberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1437438157
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameFOOTPRINTS IN TIME MIDWIFERY SERVICES LLC
Location Address502 MAIN STBlack River Falls, WI 54615-1648
Mailing Address502 Main StBlack River Falls, WI 54615-1648 · (715) 284-2003 · Fax (715) 284-2008
Phone(715) 284-2003
Fax(844) 285-4399
Organization SubpartNo
Authorized OfficialRebecca L AmbergOwner · (715) 284-2003
Enumeration DateAugust 11, 2011
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
✔ NPI 1437438157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · BirthingTaxonomy 261QB0400X
502 MAIN ST, Black River Falls, WI 54615
Open in Google Maps ↗

Secondary Practice Location 1

Location 1124 N Main StGreenwood, WI 54437-9419 · Phone (715) 284-2003 · Fax (844) 285-4399

Other Identifiers 4

Other63651-30WI · Wi Rn License
Other147290-30WI · Rebecca (becky) Registered Nurse
Other1689608010WI · Patricia Jacobson Npi
Other992-33WI · Wi Apnp License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2030978

Footprints In Time Midwifery & Family Services · Black River Falls, WI
Active · expires Oct 9, 2027
CLIA Number52D2030978
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorAmy J. Defranco
Laboratory Phone(715) 284-2003
Laboratory LocationFootprints In Time Midwifery & Family Services502 Main St, Black River Falls, WI 54615
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

REBECCA L AMBERG LM RN
Midwife
502 MAIN ST
BLACK RIVER FALLS, WI 54615
Jackson County (608) 387-0153
PATRICIA A JACOBSON APNP
Nurse Practitioner (Family)
502 MAIN ST
BLACK RIVER FALLS, WI 54615
Jackson County (715) 284-2003
KATHLEEN M KETT CNM
Advanced Practice Midwife
502 MAIN ST
BLACK RIVER FALLS, WI 54615
Jackson County (715) 284-2003
MS. AMY JEANNE DEFRANCO ARNP
Nurse Practitioner (Family)
502 MAIN ST
BLACK RIVER FALLS, WI 54615
Jackson County (715) 284-2003

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 Footprints In Time Midwifery Services LLC's NPI number?

The NPI number for Footprints In Time Midwifery Services LLC is 1437438157. It was assigned to this organization in the NPPES registry on August 11, 2011.

Where is Footprints In Time Midwifery Services LLC located?

Footprints In Time Midwifery Services LLC is located at 502 Main St, Black River Falls, WI 54615. The listed phone number is (715) 284-2003.

What is Footprints In Time Midwifery Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Footprints In Time Midwifery Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2030978) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Footprints In Time Midwifery Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Footprints In Time Midwifery Services LLC 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 Footprints In Time Midwifery Services LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.