SONJA M BATALDEN CNM
NPI 1255469276
Advanced Practice Midwife in Saint Paul, MN
NPI Status: Active since March 01, 2007
- Individual
- Female
- Advanced Practice Midwife
- Accepts Insurance
- PECOS Enrolled
About SONJA BATALDEN
This page provides the complete NPI Profile along with additional information for Sonja Batalden, a provider established in Saint Paul, Minnesota with a medical specialization in Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1255469276 assigned on March 2007. The practitioner's primary taxonomy code is 367A00000X with license number 78 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1255469276
- Provider Name
- SONJA M BATALDEN CNM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1026 7TH ST W SAINT PAUL, MN 55102
- Location Phone
- (651) 758-9500
- Mailing Address
- 1026 7TH ST W SAINT PAUL, MN 55102
- Mailing Phone
- (651) 758-9500
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-01-2007
- Last Update Date
- 08-15-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Advanced Practice Midwife
- Taxonomy Code
- 367A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 78
- License State
- MN
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sonja Batalden is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55102 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.82
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.74
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $17.43
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 4 | 6 | 9 | 2 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 8 | 6 | 18 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 8 + 6 + 1 + 8 + 2 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1255469276 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124088315 | TIMOTHY J RUMSEY MD Individual | Family Medicine | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1164561460 | PHYLLIS E PARR RNP Individual | Nurse Practitioner | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1124304373 | ANDRADA LAVINIA HRDLICKA RDH Individual | Dental Hygienist | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1710206388 | DR. LAURA J. LEHMANN M.D. Individual | Internal Medicine | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1457718231 | KATHRYN ESTELLE HEISEL Individual | Social Worker | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1265890230 | NORA BEDARD Individual | Social Worker | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1091 |
| 1427047638 | DR. PHUONG-GIANG THI PHAM DDS Individual | Dentist (General Practice) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1110 |
| 1700326857 | TSITSI HUNGWE Individual | Dentist | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1133 |
| 1366989154 | MELISSA ELUMBA N.P.-C Individual | Nurse Practitioner (Family) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1265494512 | SCOTT W TONGEN MD Individual | Family Medicine | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1184809907 | JENNIFER LARSON PA-C Individual | Physician Assistant | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1568925634 | MAGGIE MARIE PRUNTY CNP Individual | Nurse Practitioner (Adult Health) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1821740093 | JOHN KIIZA Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1912118522 | BERNADETTE KIM QUADLING MBBCH Individual | Internal Medicine (Geriatric Medicine) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9413 |
| 1598451114 | DR. GARRETT HANS JONATHAN BOGGS MD Individual | Student in an Organized Health Care Education/Training Program | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1194429597 | MCKENZIE WALLACE STUDENT Individual | Dentist (General Practice) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1972284602 | ALLYSON LYNN ENDERSBE LGSW Individual | Social Worker | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1588350425 | UNITED FAMILY PRACTICE HEALTH CENTER Organization | Pharmacy (Clinic Pharmacy) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1851300149 | UNITED FAMILY PRACTICE HEALTH CENTER Organization | Family Medicine | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1902140205 | UNITED FAMILY PRACTICE HEALTH CENTER Organization | Clinic/Center (Dental) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255469276, enumerated in the NPI registry as an "individual" on March 01, 2007
The provider is located at 1026 7th St W Saint Paul, Mn 55102 and the phone number is (651) 758-9500
The provider's speciality is Advanced Practice Midwife with taxonomy code 367A00000X
The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.