Country Midwife LLC
NPI 1255505525 · Advanced Practice Midwife · Green Bay, WI
Provider details
- NPI number
- 1255505525
- Entity type
- Organization
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stacy Vandenput, Midwife, Manager(920) 562-9058
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Registered Nurse163W00000X
Nursing Service Providers
- Home Health Registered Nurse163WH0200X
Nursing Service Providers
- Lactation Consultant (Registered Nurse)163WL0100X
Nursing Service Providers
- Maternal Newborn Registered Nurse163WM0102X
Nursing Service Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Country Midwife
Registry dates
- Enumerated
- 2008-04-17
- Last updated
- 2010-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.