Active NPI
Rachel Ross Rissmiller, CNM
- Advanced Practice Midwife
- Haverhill, MA
National Provider Identifier
1811050255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 259243
- Practice address
- 600 Primrose St Ste 202
Haverhill, MA 01830-2659 - Phone
- (978) 556-0100
- Fax
- (978) 556-0101
- NPI assigned
- Dec 18, 2006
- 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 | 259243 | MA | Primary |
Addresses
Primary practice location
600 Primrose St Ste 202
Haverhill, MA 01830-2659
Mailing address
24 Morrill PL
Ste 2
Amesbury, MA 01913-3530
Phone (978) 834-8074
Other practice location 1
100 Hospital Rd
Suite 1 B
Leominster, MA 01453-2253
Phone (978) 466-4550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0711381 | Medicaid | MA |
Other names 1
- Rachel J Ross
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rachel.rossrissmiller@whcsagp.eclinicaldirectplus.com | Direct | Seacoast Affiliated Group Practice, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259243 | MA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Midwifery | Past | Accepting new patients | |
| Anna Jaques Hospital | Past | Accepting new patients | |
| River Valley Infectious Disease Specialists Inc. | Past | Accepting new patients | |
| Newburyport Cardiovascular Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- rachel.rossrissmiller@whcsagp.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Newburyport, MA
- NPI 1992779482
-
- Cardiovascular Disease Physician
- Newburyport, MA
- NPI 1811315831
-
- Infectious Disease Physician
- Newburyport, MA
- NPI 1366712002
-
- Midwife
- Hanover, MA
- NPI 1053462259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1811050255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MORRILL PL",
"address_2": "STE 2",
"city": "AMESBURY",
"state": "MA",
"postal_code": "019133530",
"telephone_number": "978-834-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PRIMROSE ST STE 202",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018302659",
"telephone_number": "978-556-0100",
"fax_number": "978-556-0101"
}
],
"practiceLocations": [
{
"address_1": "100 Hospital Rd",
"address_2": "SUITE 1 B",
"address_purpose": "LOCATION",
"city": "Leominster",
"state": "MA",
"postal_code": "014532253",
"country_code": "US",
"telephone_number": "978-466-4550",
"fax_number": "978-466-4560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RISSMILLER",
"first_name": "RACHEL",
"middle_name": "ROSS",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "259243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0711381",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rachel.rossrissmiller@whcsagp.eclinicaldirectplus.com",
"affiliation": "Y",
"endpointDescription": "SAGP Women's Healthcare eClinicalWorks",
"affiliationName": "Seacoast Affiliated Group Practice, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "600 Primrose St Ste 202",
"city": "Haverhill",
"state": "MA",
"country_code": "US",
"postal_code": "018302659",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "ROSS",
"middle_name": "J",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.