Individual provider Active NPI

Whitney Susanna Hall, CM, LM

  • Advanced Practice Midwife
  • Hurley, NY
National Provider Identifier
1689063372
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
001152 Issued in NY
Practice address
133 Country LN
Hurley, NY 12443-6039
Phone
(845) 481-5154
NPI assigned
Jan 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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 001152 NY Primary

Addresses

Primary practice location

133 Country LN
Hurley, NY 12443-6039

Mailing address

133 Country LN
Hurley, NY 12443-6039
Phone (845) 481-5154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20181128001692 NY Practitioner - Certified Nurse Midwife (CNM) 6103160486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice PC 578 clinicians

Practice addresses (Care Compare)

6511 Spring Brook Ave
Suite 103
Rhinebeck, NY 12572-3709
Phone (845) 871-4235

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001152NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC Advanced Practice Midwife CurrentSince Nov 1, 2018 Accepting new patients
Northern Dutchess Hospital Past Accepting new patients

Locations

1351 Route 55
Ste 200
Lagrangeville, NY 12540
Phone (845) 475-9622

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

6511 Spring Brook Ave
Ste 103
Rhinebeck, NY 12572
Phone (845) 871-4235

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.

NPI Registry JSON

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

{
    "created_epoch": "1421539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1689063372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 COUNTRY LN",
            "city": "HURLEY",
            "state": "NY",
            "postal_code": "124436039",
            "telephone_number": "845-481-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 COUNTRY LN",
            "city": "HURLEY",
            "state": "NY",
            "postal_code": "124436039",
            "telephone_number": "845-481-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "WHITNEY",
        "middle_name": "SUSANNA",
        "credential": "CM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-18",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurley, NY

Sources for this page

Verify at the official NPI Registry.