Individual provider Active NPI

Susan Joan Chinworth-Martig, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Moses Lake, WA
National Provider Identifier
1528016227
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30000202 Issued in WA
Practice address
801 E Wheeler Rd
Moses Lake, WA 98837-1820
Phone
(509) 765-5606
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28102387A IN
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.08562 OH
Certified Registered Nurse Anesthetist 367500000X AP30000202 WA Primary

Addresses

Primary practice location

801 E Wheeler Rd
Moses Lake, WA 98837-1820

Mailing address

55 Hospital Dr
Athens, OH 45701-2302
Phone (614) 566-9871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050118000459 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294784138 Reassigns benefits to 2 organizations
I20110915000609 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294784138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30000202WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Aug 1, 2020 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Deaconess Hospital Inc CurrentSince Dec 11, 2017 Accepting new patients
Ohiohealth Corporation Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 11, 2017 Accepting new patients
Caylor Nickel Clinic, PC Past Accepting new patients
Baxter County Regional Hospital, Inc Past Accepting new patients
Pediatric Anesthesia Associates of Dayton, Inc. Past Accepting new patients
Southern Indiana Anesthesiology Nurse Anesthetist, Certified Registered Past Accepting new patients
Bluffton Physician Services LLC Past Accepting new patients
Columbia Basin Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103

3605 Northgate Ct
Ste 102
New Albany, IN 47150
Phone (812) 944-4263

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1528016227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HOSPITAL DR",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012302",
            "telephone_number": "614-566-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WHEELER RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371820",
            "telephone_number": "509-765-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINWORTH-MARTIG",
        "first_name": "SUSAN",
        "middle_name": "JOAN",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28102387A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.08562",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30000202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.

Verify at the official NPI Registry.