Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1306306154 Deactivated / Inactive NPI Female Practitioner

Kelly Bolerjack , LM, CPM

Midwife • Austin, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kelly Bolerjack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 20, 2019
NPI Deactivation Date December 05, 2025
Total Practice Duration ~6 Years of Practice (2019 – 2025)

Professional Overview & Biography Verified Profile Summary

Kelly Bolerjack, LM, CPM was a registered Midwife practicing in Austin, TX. Throughout an active medical career spanning 6 years, Kelly Bolerjack provided care at the practice location at 2500 W WILLIAM CANNON DR STE 503 until profile deactivation on 2025-12-05.

Practice Location & Contact Primary Location

Practice Address

2500 W William Cannon Dr Ste 503

Austin, TX 787455286

Telephone 5122438066
Associated Practice Facility / Clinic
🏢 Austin Area Midwives & Co Facility NPI 1902688567

Specialty Benchmarks & Practice Insights

Comparative analytics for Midwife in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 7.9 Yrs
Regional Practice Density
50 Specialists

Practicing in Austin, TX (515 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-12
Midwife Primary Specialty

NUCC Taxonomy Code: 176B00000X

State License TX 99623

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1114525029
Rachel Heisman , CNM

Advanced Practice Midwife

NPI 1386164606

Certified Nurse Midwife

NPI 1407279268

Certified Nurse Midwife

Hannah Schnell , MSN, APRN-CNM

Advanced Practice Midwife

NPI 1477286003

Master of Science in Nursing, APRNCNM

NPI 1558155333
NPI 1760081822

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 12, 2025

Registered at 2500 W WILLIAM CANNON DR STE 503, AUSTIN, TX 787455286 (Tel: 5122438066)

📍
Updated Business Mailing Address December 12, 2025

Registered at 2500 W WILLIAM CANNON DR STE 503, AUSTIN, TX 787455286 (Tel: 5122438066)

👤
Provider Name / Credentials Updated December 12, 2025

Recorded as KELLY BOLERJACK, LM, CPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2025

Midwife (License #99623 in TX)

⚠️
NPI Profile Deactivated December 05, 2025

Record deactivated on December 05, 2025

NPI Profile Active March 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2019

Registered at 4400 TWISTED TREE DRIVE, AUSTIN, TX 78735 (Tel: 2514557762)

📍
Updated Business Mailing Address March 20, 2019

Registered at 4400 TWISTED TREE DRIVE, AUSTIN, TX 78735 (Tel: 2514557762)

👤
Provider Name / Credentials Updated March 20, 2019

Recorded as KELLY BOLERJACK, CD(DONA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2019

Doula

🟢
Initial NPI Registration & Enumeration March 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kelly Bolerjack. Be the first to share your experience!

Sign in to leave a review for Kelly Bolerjack

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306306154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2019
Last Update: December 12, 2025
Deactivation Date: December 05, 2025
Sole Proprietor: No

Mailing Address

2500 W William Cannon Dr Ste 503

Austin, TX 787455286

Phone: 5122438066

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.