Jessica Ramirez-trower, CNM
Jessica Ramirez-trower, CNM is a provider specialising in Midwife in Cary, NC, registered under NPI 1598971376. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 550 NEW WAVERLY PL STE 200, Cary, NC 27518. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 227939 | NC | Midwife primary |
| ARNP2963432 | FL | Nurse Practitioner |
Licences are recorded in 2 states: NC, FL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Certified Nurse Midwife (cnm)
- PAC ID
- 6608112859
- Enrollment ID
- I20190109002679
Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Nurse Midwife (cnm). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Florida and North Carolina. The practice address on file is in Cary, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Midwife covers
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. NUCC Health Care Provider Taxonomy, code 176B00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 176B00000X | Midwife | 227939 | NC | primary |
| 363L00000X | Nurse Practitioner | ARNP2963432 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1598971376 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 16, 2007 |
| Last updated | Aug 11, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | CNM |
| Practice address |
550 NEW WAVERLY PL STE 200 Cary, NC 27518 (919) 467-5941 Fax (919) 655-0532 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 9 | 8 | 9 | 7 | 1 | 3 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 9 | 8 | 9 | 7 | 2 | 3 | 5 |
Sum = 74 · next multiple of 10 = 80 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.