Individual provider Active NPI

Elizabeth S Sushereba, CNM

  • Advanced Practice Midwife
  • Smyrna, DE
National Provider Identifier
1649237918
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010002 Issued in PA
Practice address
100 S Main St
Suite 215
Smyrna, DE 19977-1477
Phone
(302) 659-4520
NPI assigned
Apr 28, 2006
Last updated
Feb 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 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 MW010002 PA Primary

Addresses

Primary practice location

100 S Main St
Suite 215
Smyrna, DE 19977-1477

Mailing address

100 S Main St
Suite 215
Smyrna, DE 19977-1477
Phone (302) 659-4520

Other identifiers 1

IdentifierTypeStateIssuer
001919801MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20080513000344 DE Practitioner - Certified Nurse Midwife (CNM) 2567531890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MW010002PAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Sep 10, 2007 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc Advanced Practice Midwife CurrentSince Sep 10, 2007 Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

4755 Ogletownstanton Rd
Newark, DE 19718
Phone (302) 733-6510

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 1900
Newark, DE 19718
Phone (302) 733-6510

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

100 S Main St
Ste 215
Smyrna, DE 19977
Phone (302) 659-4520

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

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, 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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1649237918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "address_2": "SUITE 215",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771477",
            "telephone_number": "302-659-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "address_2": "SUITE 215",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771477",
            "telephone_number": "302-659-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSHEREBA",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001919801",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.