CMS-1500 Box 24J / 33a • NPI
1356773329
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
176B00000X
Licensed & Credentialed Midwife
Box 32 Service Location & ZIP+4
304 W MICHIGAN ST, SUITE 6, MOUNT PLEASANT, MI, 48858-2492
✓ 9-Digit EDI 837 ZIP+4 (48858-2492)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1356773329 (JILLIAN ELIZABETH BENNETT, CPM) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1356773329 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JILLIAN ELIZABETH BENNETT, CPM |
| Plain-English Specialty | Licensed & Credentialed Midwife NUCC Code: 176B00000X (Midwife) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 304 W MICHIGAN ST, SUITE 6, MOUNT PLEASANT, MI, 48858-2492 |
| Practice Telephone / Fax | Tel: (989) 802-2022 |
| Administrative Mailing Address | 9426 N WISE RD, CLARE, MI, 48617-9123 |
| Enumeration & Last Sync | Enumerated: 2013-08-01 | CMS Record Updated: 2016-10-07 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (176B00000X)
What Does Taxonomy Code 176B00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 176B00000X translates to:
"Licensed & Credentialed Midwife"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JILLIAN ELIZABETH BENNETT, CPM)
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
- 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 |
|---|---|
176B00000X — MidwifePlain English: Licensed & Credentialed Midwife | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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