Amelia Grace Forman, CPM, LM, DEM
NPI 1891600813ActiveIndividual· Midwife· Polson, MT
Midwife (CPM, LM, DEM) in Polson, Montana, licensed in MT, with an NPI issued in August 2026.
Overview
| NPI | 1891600813 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CPM, LM, DEM |
| Sole proprietor | Yes |
| NPI issued | Aug 14, 2026 |
| Last updated in NPPES | Aug 14, 2026 |
| Certified by provider | Aug 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Midwife Primary | 176B00000X | AHC-MID-LIC-131816 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|