AMANDA JO PEGRAM CNM
NPI 1689351041
Midwife in Spokane, WA

Q: What is Amanda Pegram's NPI number?

The NPI number for Amanda Pegram is 1689351041. It was assigned to this individual provider in the NPPES registry on June 28, 2023.

Q: What is Amanda Pegram's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Pegram was last updated on June 28, 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.

Active since June 28, 2023PECOS Enrolled

910 W 5TH AVE STE 300, SPOKANE, WA 99204(509) 755-5205(509) 755-6580 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amanda Jo Pegram Cnm NPPES

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

AMANDA JO PEGRAM CNM (NPI 1689351041) is an individual midwife in Spokane, Washington, licensed in Washington (CNM08720) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689351041

Entity TypeIndividualFemale

Primary Taxonomy176B00000X

Provider Legal NameAMANDA JO PEGRAMCredential: CNM

Location Address910 W 5TH AVE STE 300Spokane, WA 99204-2972

Mailing Address1007 E Farwell RdSpokane, WA 99208-9829 · (509) 951-5257

Phone(509) 755-5205

Fax(509) 755-6580

Sole ProprietorNo

Enumeration DateJune 28, 2023

NPPES CertifiedJune 28, 2023

✔ NPI 1689351041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers

Taxonomy Code176B00000X

License✔ Licensed in WA · CNM08720

Definition

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.

910 W 5TH AVE STE 300, Spokane, WA 99204

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Jo Pegram 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.

Other Providers at the Same Location NPPES 13

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

JOSHUA BLAKE THOREN CNM

Advanced Practice Midwife