Individual provider Active NPI

Susan M Mersch, CNM

  • Advanced Practice Midwife
  • Fairfax, VA
National Provider Identifier
1174508287
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209004109 Issued in IL
Practice address
10521 Rosehaven St Ste Ll100
Fairfax, VA 22030-2877
Phone
(703) 281-5000
Fax
(703) 255-0765
NPI assigned
Dec 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209004109 IL Primary

Addresses

Primary practice location

10521 Rosehaven St Ste Ll100
Fairfax, VA 22030-2877

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

8640 Sudley Rd Ste 303
Manassas, VA 20110
Phone (703) 361-7778

Other practice location 2

6564 Loisdale Ct Ste 100
Springfield, VA 22150-1812
Phone (703) 978-5440

Other practice location 3

3914 Centreville Rd Ste 220
Chantilly, VA 20151-3290
Phone (703) 796-3672

Other identifiers 2

IdentifierTypeStateIssuer
1174508287MedicaidVA
00024172631OtherVALICENSE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sue.mersch.p1@direct.cwcare.nextgenshare.com Direct
Direct Messaging Address mmatarese198833@direct.novanthealth.org
Direct Messaging Address smersch549976@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201216000223 DC Practitioner - Certified Nurse Midwife (CNM) 1153396981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209004109ILMDAdvanced Practice Midwife

Interoperability endpoints

  • Direct secure messaging: smersch549976@direct.novanthealth.org
  • Direct secure messaging: sue.mersch.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1174508287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 ROSEHAVEN ST STE LL100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302877",
            "telephone_number": "703-281-5000",
            "fax_number": "703-255-0765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8640 Sudley Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "20110",
            "country_code": "US",
            "telephone_number": "703-361-7778",
            "fax_number": "703-361-1811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6564 Loisdale Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221501812",
            "country_code": "US",
            "telephone_number": "703-978-5440",
            "fax_number": "703-978-0764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3914 Centreville Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201513290",
            "country_code": "US",
            "telephone_number": "703-796-3672",
            "fax_number": "703-796-3676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERSCH",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209004109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174508287",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "00024172631",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sue.mersch.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10521 Rosehaven St Ste Ll100",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220302877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmatarese198833@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8640 Sudley Rd Ste 303",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "20110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smersch549976@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8640 Sudley Rd Ste 303",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "20110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.