Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Jeanne Knickerbocker, CNM

Individual provider Midwife · NPI 1912863416

Kelly Jeanne Knickerbocker, CNM is a Certified Nurse Midwife (CNM) in Rochester, New York. Qualified in 2025, 1 year ago. Works from 4 locations. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

1415 Portland Ave Ste 400
Rochester, NY 14621-3022
Phone: (585) 922-4200
Fax: (585) 922-4922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 293 Upper Falls Blvd, Rochester, NY 14605-2184 — (585) 922-0260
  • 222 Alexander St Ste 1100, Rochester, NY 14607-4005 — (585) 922-8585
  • 2000 Empire Blvd Ste 200, Webster, NY 14580-1957 — (585) 922-0374

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence 002473 (NY)

Record details

NPI number1912863416
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedDecember 29, 2025
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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