Individual provider Active NPI

Susan Annette Hensley, CNM

  • Advanced Practice Midwife
  • Hohenwald, TN
National Provider Identifier
1194217547
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
543 E Main St
Hohenwald, TN 38462
Phone
(931) 295-3547
Fax
(931) 295-3549
NPI assigned
Jun 1, 2018
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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 NU Primary

Addresses

Primary practice location

543 E Main St
Hohenwald, TN 38462

Mailing address

543 E Main St
Hohenwald, TN 38462-2007
Phone (931) 295-3547

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190118000213 TN Practitioner - Nurse Practitioner 1557607108 Practice locations: Hohenwald, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

543 E Main St
Hohenwald, TN 38462-2007
Phone (931) 628-8279

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Advanced Wellness, LLC Advanced Practice Midwife Current Accepting new patients

Locations

543 E Main St
Hohenwald, TN 38462
Phone (931) 295-3547

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1194217547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 E MAIN ST",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "384622007",
            "telephone_number": "931-295-3547",
            "fax_number": "931-295-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 E MAIN ST",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "38462",
            "telephone_number": "931-295-3547",
            "fax_number": "931-295-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "SUSAN",
        "middle_name": "ANNETTE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hohenwald, TN

Sources for this page

Verify at the official NPI Registry.