Active NPI
Suzanne Marie Hanna, CNM
- Advanced Practice Midwife
- La Porte, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 09000331A
- Practice address
- 1509 State St
La Porte, IN 46350-3115 - Phone
- (219) 326-5700
- NPI assigned
- Aug 12, 2019
- 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 | 09000331A | IN | Primary |
Addresses
Primary practice location
1509 State St
La Porte, IN 46350-3115
Mailing address
10716 W 1600 S
Wanatah, IN 46390-0047
Phone (219) 851-4755
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Suzanne.Hanna@laportehosp.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 E Culver Rd
Knox, IN 46534-2241
1509 State St
La Porte, IN 46350-3115
Phone (219) 326-5700
Hospital & facility affiliations
- Northwest Health-la Porte
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.68 of 100
- Quality
- 76.2
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Porte Clinic Company LLC | Advanced Practice Midwife | Current | Accepting new patients |
| La Porte Clinic Company LLC | Current | Accepting new patients |
Locations
104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300
104 E Culver Rd
Ste 102
Knox, IN 46534
Phone (574) 772-1580
1509 State St
Laporte, IN 46350
Phone (219) 324-3431
1331 State St
Laporte, IN 46350
Phone (219) 326-2415
3777 N Frontage Rd
Ste 600
Michigan City, IN 46360
Phone (219) 877-3841
Interoperability endpoints
- suzanne.hanna@laportehosp.cernerdirect.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Valparaiso, IN
- NPI 1568829224
Advanced Practice Midwife
-
- Durable Medical Equipment & Medical Supplies
- La Porte, IN
- NPI 1275081788
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1497301964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10716 W 1600 S",
"city": "WANATAH",
"state": "IN",
"postal_code": "463900047",
"telephone_number": "219-851-4755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 STATE ST",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503115",
"telephone_number": "219-326-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "09000331A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Suzanne.Hanna@laportehosp.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "1509 State St",
"city": "LA Porte",
"state": "IN",
"country_code": "US",
"postal_code": "463503115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.