DONNA J AUGUSTINE, CNM — NPI 1205839313 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse in DEFIANCE, OH)

CMS-1500 Box 24J / 33a • NPI

1205839313

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

367A00000X (CMS 42)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse

Box 32 Service Location & ZIP+4

1400 E 2ND ST, DEFIANCE, OH, 43512-2440

✓ 9-Digit EDI 837 ZIP+4 (43512-2440)

Practice Phone & Referral Fax

(419) 784-1414

Fax: (419) 783-2799

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205839313 (DONNA J AUGUSTINE, CNM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205839313` (NPI-1 Individual Practitioner)
Provider / Legal Name	DONNA J AUGUSTINE, CNM
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse NUCC Code: `367A00000X` (Advanced Practice Midwife)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1400 E 2ND ST, DEFIANCE, OH, 43512-2440
Practice Telephone / Fax	Tel: (419) 784-1414 \| Fax: (419) 783-2799
Administrative Mailing Address	2200 JEFFERSON AVE FL 5, TOLEDO, OH, 43604-7102
Enumeration & Last Sync	Enumerated: 2005-05-23 \| CMS Record Updated: 2019-10-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1400 E 2ND ST, DEFIANCE, OH, 43512-2440

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Plain-English Taxonomy & CMS Crosswalk (367A00000X)

What Does Taxonomy Code 367A00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 42 (Certified Nurse Midwife)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Advanced Practice Midwife for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DONNA J AUGUSTINE, CNM)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`367A00000X` — Advanced Practice Midwife Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse	State: OH \| License: `RN 163053` \| Primary: Secondary
`367A00000X` — Advanced Practice Midwife Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse	State: OH \| License: `APRN.CNM.03448` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DONNA J AUGUSTINE, CNM (NPI #1205839313)