Stacy Ellen Hudepohl, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

05759NM Issued in OH

Practice address

4834 Socialville Foster Rd Ste 60
Mason, OH 45040-6805

Phone

(513) 561-8405

NPI assigned

Aug 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stacy Ellen Nesmith Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Merit-based Incentive Payment System (MIPS)

Final score

90.21 of 100Reported as group

Quality

88

Promoting interoperability

100

Improvement activities

40

Cost

79.36

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shudepohl@shwhc.gwaydirect.com

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.

• Christ Hospital Medical Specialists LLC

  • Urology Physician
  • Cincinnati, OH
  • NPI 1124341649

  Advanced Practice Midwife

  Medicare reassignment NPD
• Premier Health Specialists Inc

  • Internal Medicine Physician
  • Moraine, OH
  • NPI 1194958223
  Medicare reassignment NPD
• Premier Health Specialists Inc

  dba Advanced Ankle and Foot Specialists

  • Foot & Ankle Surgery Podiatrist
  • Dayton, OH
  • NPI 1902211287
  NPD
• Bethesda Hospital, Inc

  dba TriHealth Nurse Midwives

  • Advanced Practice Midwife
  • Cincinnati, OH
  • NPI 1598710881
  NPD (past)
• The Christ Hospital Medical Associates, LLC

  dba Tchma

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1114107919
  NPD (past)
• Marianna Vardaka MD Inc

  • Gynecology Physician
  • Chicago, IL
  • NPI 1477731784
  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1669666871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 SOCIALVILLE FOSTER RD STE 60",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406805",
            "telephone_number": "513-229-8010",
            "fax_number": "513-229-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 SOCIALVILLE FOSTER RD STE 60",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406805",
            "telephone_number": "513-561-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDEPOHL",
        "first_name": "STACY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "05759NM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2260673",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "NESMITH",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Nicole Hruszkewycz, MD
• Huang Blueprint Medicine LLC
• Kai Huang, M.D.
• Sarah Nicole Hubbard
• Hubrom Nemt Services LLC
• Britney Ann Huey
• Christie Marie Huhn, M.A., CCC-SLP
• Kendra Anne Huhta
• Charles T Humphries, M. D.
• Samantha Gail Hundemer, LPN

• Advanced Practice Midwife in Mason, OH
• Providers in Mason, OH by specialty
• Advanced Practice Midwife in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.