Individual provider Active NPI

Susan F Hearin, CNM

  • Advanced Practice Midwife
  • Kotzebue, AK
National Provider Identifier
1356658728
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
U 1155 Issued in AK
Practice address
436 Ted Stevens Way
Kotzebue, AK 99752-0043
Phone
(907) 442-3321
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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 U 1155 AK Primary

Addresses

Primary practice location

436 Ted Stevens Way
Kotzebue, AK 99752-0043

Mailing address

PO Box 43
Kotzebue, AK 99752-0043
Phone (907) 442-3321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110208000401 TX Practitioner - Certified Nurse Midwife (CNM) 8022298074 Reassigns benefits to 2 organizations
I20210813001853 HI Practitioner - Certified Nurse Midwife (CNM) 8022298074 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U 1155AKMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association CurrentSince Jun 17, 2017 Accepting new patients
Molokai General Hospital Current Accepting new patients
Maniilaq Association CurrentSince Jun 17, 2017 Accepting new patients
Maniilaq Association Current Accepting new patients
Molokai General Hospital Past Accepting new patients

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1356658728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520043",
            "telephone_number": "907-442-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 TED STEVENS WAY",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520043",
            "telephone_number": "907-442-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARIN",
        "first_name": "SUSAN",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AK",
            "license": "U 1155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kotzebue, AK

Sources for this page

Verify at the official NPI Registry.