Individual provider Active NPI

Susan Pantano, CNM

  • Advanced Practice Midwife
  • Glens Falls, NY
National Provider Identifier
1366833121
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
001671 Issued in NY
Practice address
45 Hudson Ave
Glens Falls, NY 12801-4313
Phone
(518) 793-4477
Fax
(518) 798-7541
NPI assigned
Feb 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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 001671 NY Primary

Addresses

Primary practice location

45 Hudson Ave
Glens Falls, NY 12801-4313

Mailing address

PO Box 144
45 Hudson Ave
Glens Falls, NY 12801-0144
Phone (518) 793-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180412002016 NY Practitioner - Certified Nurse Midwife (CNM) 1850654450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
48.88
Promoting interoperability
91
Improvement activities
40
Cost
71.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001671NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital CurrentSince Sep 1, 2023 Accepting new patients
Auburn Community Hospital CurrentSince Sep 1, 2023 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Sep 1, 2023 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Sep 1, 2023 Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

1551 US Route 20
Ste 300
Skaneateles, NY 13152
Phone (315) 252-5028

Organizations & group practices 4

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": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1366833121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "address_2": "45 HUDSON AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010144",
            "telephone_number": "518-793-4477",
            "fax_number": "518-798-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HUDSON AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014313",
            "telephone_number": "518-793-4477",
            "fax_number": "518-798-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTANO",
        "first_name": "SUSAN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.