Individual provider Active NPI

Susan Rachael Kamin, CNM

  • Advanced Practice Midwife
  • Augusta, ME
National Provider Identifier
1992979728
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM152002 Issued in ME
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

Updated by the provider on Feb 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
176754MAMDAdvanced Practice Midwife
CNM152002MEMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Feb 28, 2017 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 28, 2017 Accepting new patients
Lifecycle Womens Health Advanced Practice Midwife PastSince Jul 31, 2018 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.

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

Verify at the official NPI Registry.