Active NPI
Susan Rachael Kamin, CNM
- Advanced Practice Midwife
- Augusta, ME
National Provider Identifier
1992979728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM152002
- Practice address
- 35 Medical Center Pkwy
Augusta, ME 04330-8160 - Phone
- (207) 621-9100
- Fax
- (207) 623-1462
- NPI assigned
- Apr 14, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 176754 | MA | |
| Advanced Practice Midwife | 367A00000X | CNM152002 | ME | Primary |
Addresses
Primary practice location
35 Medical Center Pkwy
Augusta, ME 04330-8160
Mailing address
35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 621-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170313001382 | ME | Practitioner - Certified Nurse Midwife (CNM) | 8123191665 |
Reassigns benefits to 1 organization Practice locations: Brunswick, ME |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176754 | MA | MD | Advanced Practice Midwife |
| CNM152002 | ME | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Lifecycle Womens Health | Advanced Practice Midwife | Past | Accepting new patients |
Locations
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Organizations & group practices 3
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.
-
- Advanced Practice Midwife
- Readfield, ME
- NPI 1053892091
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
37 Mill St
Suite 13
Brunswick, ME 04011-1914
Phone (207) 835-1720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1992979728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-621-9100",
"fax_number": "207-623-1462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-621-9100",
"fax_number": "207-623-1462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMIN",
"first_name": "SUSAN",
"middle_name": "RACHAEL",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "176754",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "ME",
"license": "CNM152002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.