Active NPI
Mat-Su Midwifery Inc
- Midwife
- Wasilla, AK
National Provider Identifier
1275696486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- AA10
- Legal business name
- MAT-SU MIDWIFERY INC
- Practice address
- 5000 E Shennum Dr
Wasilla, AK 99654-7718 - Phone
- (907) 373-3420
- Fax
- (907) 376-7847
- NPI assigned
- Dec 18, 2006
- Last updated
- May 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susanna Biederman
- Title
- President
- Phone
- (907) 373-3420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | AA10 | AK | Primary |
Addresses
Primary practice location
5000 E Shennum Dr
Wasilla, AK 99654-7718
Mailing address
2650 Broadview Ave
Wasilla, AK 99654-8302
Phone (907) 373-3420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D0858787 | Mat-Su Midwifery, Inc | Provider-performed microscopy | Mar 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
2650 E Broadview Ave
Wasilla, AK 99654
Phone (907) 373-3420
5000 E Shennum Dr
Wasilla, AK 99654
Phone (907) 373-3420
Practitioners & affiliated clinicians
Practitioners 17
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Wasilla, AK
- NPI 1588990915
-
- Family Nurse Practitioner
- Wasilla, AK
- NPI 1225808728
-
- Obstetrics & Gynecology Physician
- Wasilla, AK
- NPI 1295925477
-
- Psychiatric/Mental Health Nurse Practitioner
- Wasilla, AK
- NPI 1841984218
-
- Family Nurse Practitioner
- Anchorage, AK
- NPI 1366571564
-
- Family Nurse Practitioner
- Eagle River, AK
- NPI 1639130594
-
- Advanced Practice Midwife
- Wasilla, AK
- NPI 1740358167
-
- Family Nurse Practitioner
- Wasilla, AK
- NPI 1356041685
-
- Family Nurse Practitioner
- Wasilla, AK
- NPI 1417830415
-
- Primary Care Nurse Practitioner
- Wasilla, AK
- NPI 1851532576
-
- Family Nurse Practitioner
- Wasilla, AK
- NPI 1417585902
-
- Advanced Practice Midwife
- Wasilla, AK
- NPI 1609642198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652832000000",
"number": "1275696486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 BROADVIEW AVE",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548302",
"telephone_number": "907-373-3420",
"fax_number": "907-376-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 E SHENNUM DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547718",
"telephone_number": "907-373-3420",
"fax_number": "907-376-7847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAT-SU MIDWIFERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A",
"authorized_official_last_name": "BIEDERMAN",
"authorized_official_first_name": "SUSANNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "907-373-3420",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AK",
"license": "AA10",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
- Mat-Su Community Pediatrics, P.C.
- Mat-Su Dental Center, Inc.
- Mat-Su Integrative Medicine
- Mat-Su Medical Laboratory, LLC.
- Mat-Su Mental Health LLC
- Mat-Su Neurology, LLC
- Mat-Su Pediatric Physical Therapy LLC
- Mat-Su Services for Children & Adults
- Mat-Su Services for Children & Adults
- Mat-Su Services for Children & Adults
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.