Connie Jayne Rudolph, CNM - Medicare Advanced Practice Midwife in St Petersburg, FL

  1. Home
  2. Advanced Practice Midwife
  3. FL
  4. St Petersburg
Connie Jayne Rudolph, CNM is a medicare enrolled "Advanced Practice Midwife" in St Petersburg, Florida. Her current practice location is 625 6th Ave S Ste 350, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 456-0080.

Connie Jayne Rudolph is licensed to practice in Florida (license number ARNP9432470) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396086591.

Contact Information

Connie Jayne Rudolph, CNM
625 6th Ave S Ste 350,
St Petersburg, FL 33701-4619
(727) 456-0080
(727) 456-0089

Map and Direction




Provider's Profile

Full NameConnie Jayne Rudolph
GenderFemale
SpecialityAdvanced Practice Midwife
Location625 6th Ave S Ste 350, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396086591
  • Provider Enumeration Date: 03/13/2013
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092002147
  • Enrollment ID: I20190116001688

Medical Identifiers

Medical identifiers for Connie Jayne Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396086591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife ARNP9432470 (Florida)Primary
363LW0102XNurse Practitioner - Women's Health ARNP9432470 (Florida)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Connie Jayne Rudolph allows following entities to bill medicare on her behalf.
Entity NameWomens Care Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013902923
PECOS PAC ID: 9234031444
Enrollment ID: O20040127000078
Entity NameWomens' Health Hospitalists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205295599
PECOS PAC ID: 1850674870
Enrollment ID: O20170216001354

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Connie Jayne Rudolph is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Connie Jayne Rudolph, CNM
Po Box 748817,
Atlanta, GA 30374-8817

Ph: (813) 286-0033		Connie Jayne Rudolph, CNM
625 6th Ave S Ste 350,
St Petersburg, FL 33701-4619

Ph: (727) 456-0080

Reviews and Comments


Advanced Practice Midwife Nurses in St Petersburg, FL

Joyce A Kepto, ARNP
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Dr Martin Luther King Jr St N, St Petersburg, FL 33704
Phone: 727-323-3838    Fax: 727-456-0751
Callie Ashlock, CNM, APRN
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1344 22nd St S, St Petersburg, FL 33712
Phone: 727-824-8181    
Jenny Marie Bagg, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1344 22nd St S, St Petersburg, FL 33712
Phone: 727-824-8181    Fax: 727-824-8137
Susannah Lea Reed, APRN, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1600 Dr Martin Luther King Jr St N, St Petersburg, FL 33704
Phone: 727-323-3838    Fax: 727-456-0751
Brandi R Haugabook, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 700 Central Ave Ste 400, St Petersburg, FL 33701
Phone: 727-895-1300    
Mrs. Johanna Lancaster, CNM, WHNP-BC
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1600 Martin Luther King St N, St Petersburg, FL 33704
Phone: 727-323-3838    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.