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.
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
2500 W William Cannon Dr Ste 503
Austin, TX 787455286
Specialty Benchmarks & Practice Insights
Comparative analytics for Midwife in Austin, TX
Practicing in Austin, TX (515 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-12-12NUCC Taxonomy Code: 176B00000X
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
Midwife
Advanced Practice Midwife
Certified Nurse Midwife
Midwife
Certified Nurse Midwife
Advanced Practice Midwife
Master of Science in Nursing, APRNCNM
Midwife
Midwife
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 2500 W WILLIAM CANNON DR STE 503, AUSTIN, TX 787455286 (Tel: 5122438066)
Registered at 2500 W WILLIAM CANNON DR STE 503, AUSTIN, TX 787455286 (Tel: 5122438066)
Recorded as KELLY BOLERJACK, LM, CPM
Midwife (License #99623 in TX)
Record deactivated on December 05, 2025
NPI status registered as active in NPPES database
Registered at 4400 TWISTED TREE DRIVE, AUSTIN, TX 78735 (Tel: 2514557762)
Registered at 4400 TWISTED TREE DRIVE, AUSTIN, TX 78735 (Tel: 2514557762)
Recorded as KELLY BOLERJACK, CD(DONA)
Doula
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2500 W William Cannon Dr Ste 503
Austin, TX 787455286
Phone: 5122438066
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