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Country Midwife LLC

Advanced Practice Midwife in Green Bay, WI · enumerated 2008 · authorized official Stacy Vandenput, Midwife, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255505525

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Registry record

Entity type Organization (Type 2)
Legal business name Country Midwife LLC
Other name <Unavail>
Practice address 1638 Deckner Ave, Suite A, Green Bay, WI, 54302
Phone (920) 562-9058
Enumeration date Apr 17, 2008
Last updated in NPPES Nov 5, 2010

Taxonomy & classification

163W00000X Registered Nurse Nursing Service Providers Secondary
163WH0200X Home Health Registered Nurse Nursing Service Providers Secondary
163WL0100X Lactation Consultant (Registered Nurse) Nursing Service Providers Secondary
163WM0102X Maternal Newborn Registered Nurse Nursing Service Providers Secondary
163WW0101X Ambulatory Women's Health Care Registered Nurse Nursing Service Providers Secondary
176B00000X Midwife Other Service Providers · License 31-049 (WI) Secondary
176B00000X Midwife Other Service Providers Secondary
176B00000X Midwife Other Service Providers Secondary
261QB0400X Birthing Clinic/Center Ambulatory Health Care Facilities Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary
367A00000X Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers · License 107888-030 (WI) Primary

Authorized official

Name Stacy Vandenput
Title Midwife, Manager
Phone (920) 562-9058

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Country Midwife LLC?
NPPES lists Stacy Vandenput (Midwife, Manager) as the authorized official for this organization.
What is the NPI number for Country Midwife LLC?
The NPI for Country Midwife LLC is 1255505525, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-05.