Stephanie L Welsh, CNM
Individual provider Active NPI Advanced Practice Midwife · Mansfield, CT
NPI 1972606069 · NPPES record last updated May 24, 2012
Key facts
- NPI
- 1972606069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 000241 (CT)
- Practice address
- 21 Ledgebrook Dr
Mansfield, CT 06250 - Phone
- (860) 450-7227
- Fax
- (860) 450-7231
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians for Women'S Health, LLC
Practice addresses (Care Compare)
103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789
21 Ledgebrook Dr
Mansfield Center, CT 06250-1664
Phone (860) 450-7227
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.08 of 100
- Quality
- 85.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040908000217 | CT | Practitioner - Certified Nurse Midwife (CNM) | 2961478383 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000241 | CT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians for Women'S Health LLC | Advanced Practice Midwife | Current |
Accepting new patients |
| North Coast Anesthesia LLC | Past |
Accepting new patients |
Locations
121 Broadway St
Ste 2
Colchester, CT 06415
Phone (860) 537-0900
103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789
394 W Center St
Manchester, CT 06040
Phone (860) 647-7831
388 W Center St
Manchester, CT 06040
Phone (860) 645-6670
21 Ledgebrook Dr
Mansfield Ctr, CT 06250
Phone (860) 450-7227
Interoperability endpoints
- stephanie.welsh.1@10170.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 000241 | CT | Yes |
Addresses
Primary practice location
21 Ledgebrook Dr
Mansfield, CT 06250
Mailing address
21 Ledgebrook Dr
Mansfield, CT 06250
Phone (860) 450-7227
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004229523 | Medicaid | CT |
Other providers in Mansfield, CT
All providers in Mansfield, CT · Advanced Practice Midwife in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.