HANNAH BOOMER (CNM) – Advanced Practice Midwife, NPI 1992057491

HANNAH BOOMER (CNM) is a healthcare provider. based in Redmond, Oregon. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. AP60306575 (WA). The NPI Number for HANNAH BOOMER (CNM) is 1992057491

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
HANNAH BOOMER (CNM)
NPI
1992057491
Phone
(541) 526-6635
Address
340 NW 5TH ST
Enumeration Date
8 October 2012
Last Update Date
19 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5415266635
Graduation Year
2012 (14 years ago)
PAC ID
2062723356
Group Practice PAC ID
8729111513
Professional Enrollment ID
I20150611003471
Address ID
OR977561869RE340XXSTXX401

Contacts

Secure Messaging
hrenzi17862@secure.stcharleshealthcare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

192 CERTIFIED NURSE MIDWIFE (CNM) in OR

Provider Addresses for HANNAH BOOMER (CNM)

  • 340 NW 5TH ST

    REDMOND, OR 977561869

    Phone: (541) 526-6635

    Fax: (541) 526-6636

    Type: Location

  • PO BOX 5579

    BEND, OR 977085579

    Phone: (541) 706-5920

    Fax: (541) 706-5925

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: ABBVIE INC. ($59).

Total Amount

$72

General + Research + Ownership

Payments

3

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150611003471ICertified Nurse Midwife (Cnm)ORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97756)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729111513View full group profile
NameSpecialtyState
Physician AssistantOR
Orthopedic SurgeryNM
Family PracticeOR
Nurse PractitionerOR
Hand SurgeryOR
Diagnostic RadiologyOR
Physician AssistantOR
Nurse PractitionerOR
-OR
General SurgeryOR

Reviews

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Frequently asked questions

How do I look up HANNAH BOOMER (CNM) by NPI?
Use NPI 1992057491 when you need to reference HANNAH BOOMER (CNM) in forms, claims, or directories.
Is HANNAH BOOMER (CNM)'s NPI currently valid?
The extract we use shows HANNAH BOOMER (CNM) as active.
What does HANNAH BOOMER (CNM) treat or focus on?
Patients typically see HANNAH BOOMER (CNM) under the specialty Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What location shows for HANNAH BOOMER (CNM)?
We surface Redmond, Oregon for HANNAH BOOMER (CNM) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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