Individual provider Active NPI

Luann Russo, CNM

  • Advanced Practice Midwife
  • Fairfield, CT
National Provider Identifier
1871614826
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
000137 Issued in CT
Practice address
501 Kings Hwy E
Suite 202
Fairfield, CT 06825-4867
Phone
(203) 367-2273
Fax
(203) 382-0856
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 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 000137 CT Primary

Addresses

Primary practice location

501 Kings Hwy E
Suite 202
Fairfield, CT 06825-4867

Mailing address

501 Kings Hwy E
Suite 202
Fairfield, CT 06825-4867
Phone (203) 367-2273

Other identifiers 1

IdentifierTypeStateIssuer
004209632MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160907000453 CT Practitioner - Certified Nurse Midwife (CNM) 5991091605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women's Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

501 Kings Hwy E 202
Physicians for Women at Seton
Fairfield, CT 06825-4861
Phone (203) 367-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000137CTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women's Health LLC Advanced Practice Midwife CurrentSince Jul 1, 2016 Accepting new patients
Women's Quality Care Inc. Past Accepting new patients

Locations

89 Hart St
Bridgeport, CT 06606
Phone (203) 579-2229

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

501 Kings Hwy E
Ste 202
Fairfield, CT 06825
Phone (203) 367-2273

5000 Main St
Trumbull, CT 06611
Phone (203) 374-0404

Interoperability endpoints

  • Direct secure messaging: luann.russo.1@10170.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1871614826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 KINGS HWY E",
            "address_2": "SUITE 202",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254867",
            "telephone_number": "203-367-2273",
            "fax_number": "203-382-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KINGS HWY E",
            "address_2": "SUITE 202",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254867",
            "telephone_number": "203-367-2273",
            "fax_number": "203-382-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "LUANN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004209632",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.