KELLY JEANNE KNICKERBOCKER CNM
NPI 1912863416
Midwife in Rochester, NY

NPI Status: Active since December 29, 2025

Contact Information

1415 PORTLAND AVE STE 400
ROCHESTER, NY
ZIP 14621
Phone: (585) 922-4200
Fax: (585) 922-4922

NPI Profile Information
Primary Taxonomy
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Midwife
PECOS Enrolled

About KELLY KNICKERBOCKER

This page provides the complete NPI Profile along with additional information for Kelly Knickerbocker, a provider established in Rochester, New York with a medical specialization in Midwife. The healthcare provider is registered in the NPI registry with number 1912863416 assigned on December 2025. The practitioner's primary taxonomy code is 176B00000X with license number 002473 (NY). The provider is registered as an individual and her NPI record was last updated March 2026.

NPI: 1912863416
Provider Name: KELLY JEANNE KNICKERBOCKER CNM
Gender: Female
Entity Type: Individual
Location Address: 1415 PORTLAND AVE STE 400 ROCHESTER, NY 14621
Location Phone: (585) 922-4200
Location Fax: (585) 922-4922
Mailing Address: 100 KINGS HWY S ROCHESTER, NY 14617
Is Sole Proprietor?: No
Enumeration Date: 12-29-2025
Last Update Date: 03-23-2026
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Location Map

Secondary Locations

222 Alexander St Ste 1100
Rochester, NY 14607
(585) 922-8585
2000 Empire Blvd Ste 200
Webster, NY 14580
(585) 922-0374
293 Upper Falls Blvd
Rochester, NY 14605
(585) 922-0260

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Midwife
Taxonomy Code: 176B00000X
Type: Other Service Providers
License No.: 002473
License State: NY
Taxonomy Description: 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.

Medicare Participation & PECOS Enrollment Status

Kelly Knickerbocker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912863416, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 8 → 16 → 7 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 1 + 6 + 6 + 6 + 4 + 2 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6

This NPI is valid

The calculated check digit is 6, which matches the last digit of 1912863416.