DR. KAYLA MOCK WALDECKER APRN CNM NPI 1205496999

NPI Information

  • NPI: 1205496999
  • Provider Name: DR. KAYLA MOCK WALDECKER, APRN, CNM
  • Classification: Advanced Practice Midwife - 367A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2606 CHICAGO AVE
    MINNEAPOLIS, MN
    ZIP 55407
  • Phone: (612) 545-5311

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NPI Details

DR. Kayla Mock Waldecker, APRN, CNM is an advanced practice midwife in Minneapolis, MN. The provider is advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure. DR. Kayla Mock Waldecker, APRN, CNM NPI is 1205496999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2606 CHICAGO AVE
MINNEAPOLIS, MN
ZIP 55407-706
Phone: (612) 545-5311

The NPI 1205496999 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/16/2019 and was last updated on 7/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367A00000XAdvanced Practice Midwife545MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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