Active NPI
Elizabeth S Sushereba, CNM
- Advanced Practice Midwife
- Smyrna, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- MW010002
- 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, 2012
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001919801 | Medicaid | PA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MW010002 | PA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Advanced Practice Midwife | Current | 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.
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
dba CCHS OB/GYN
- Obstetrics & Gynecology Physician
- Newark, DE
- NPI 1376528729
Advanced Practice Midwife
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba CCHS Satellite Offices
- Family Medicine Physician
- Hockessin, DE
- NPI 1134104565
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.