Active NPI
Susan Pantano, CNM
- Advanced Practice Midwife
- Glens Falls, NY
National Provider Identifier
1366833121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 001671
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.68 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001671 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Community Hospital | Current | Accepting new patients | |
| Auburn Community Hospital | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | 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.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
-
- Internal Medicine Physician
- Auburn, NY
- NPI 1336855683
-
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.