Active NPI
Susan M Mersch, CNM
- Advanced Practice Midwife
- Fairfax, VA
National Provider Identifier
1174508287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209004109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174508287 | Medicaid | VA | |
| 00024172631 | Other | VA | LICENSE |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 43.1 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 209004109 | IL | MD | Advanced Practice Midwife |
Interoperability endpoints
- smersch549976@direct.novanthealth.org
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.