Individual provider Active NPI

Rachel Ross Rissmiller, CNM

  • Advanced Practice Midwife
  • Haverhill, MA
National Provider Identifier
1811050255
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
259243 Issued in MA
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

Updated by the provider on Jun 10, 2021

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 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

IdentifierTypeStateIssuer
0711381MedicaidMA

Other names 1

  • Rachel J Ross Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
259243MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Midwifery Past Accepting new patients
Anna Jaques Hospital PastSince Feb 7, 2018 Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients
Newburyport Cardiovascular Associates, LLC PastSince Feb 7, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.