Individual provider Active NPI

Susannah C Hahn, CNM

  • Advanced Practice Midwife
  • Arnold, MD
National Provider Identifier
1205135233
Registry record updated Feb 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R207287 Issued in MD
Practice address
1454 Baltimore Annapolis Blvd
Arnold, MD 21012-2455
Phone
(410) 626-8982
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AC000889 MD
Advanced Practice Midwife 367A00000X R207287 MD Primary

Addresses

Primary practice location

1454 Baltimore Annapolis Blvd
Arnold, MD 21012-2455

Mailing address

1454 Baltimore Annapolis Blvd
Arnold, MD 21012-2455
Phone (410) 626-8982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20140714000970 MD Practitioner - Certified Nurse Midwife (CNM) 9830314590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.13 of 100Reported as group
Quality
56.5
Promoting interoperability
100
Improvement activities
40
Cost
73.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC000889MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
St. Paul Place Specialists , Inc. Advanced Practice Midwife CurrentSince Apr 22, 2014 Accepting new patients
St Paul Place Specialists Inc CurrentSince Apr 22, 2014 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
University of Maryland Pediatric Associates, PA Past Accepting new patients
Maryland Family Care, Inc. Past Accepting new patients

Locations

345 Saint Paul St
Fl 8
Baltimore, MD 21202
Phone (410) 332-7708

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Organizations & group practices 5

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": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393027200000",
    "number": "1205135233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 BALTIMORE ANNAPOLIS BLVD",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122455",
            "telephone_number": "410-626-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 BALTIMORE ANNAPOLIS BLVD",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122455",
            "telephone_number": "410-626-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "SUSANNAH",
        "middle_name": "C",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2014-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "AC000889",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R207287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.