SUSAN A. FISCHELS ARNP
NPI 1790882314
Advanced Practice Midwife in Canton, GA
NPI Status: Active since September 17, 2006
Contact Information
227 RIVERSTONE DR
CANTON, GA
ZIP 30114
Phone: (770) 720-7733
Fax: (770) 720-7557
- Individual
- Female
- Advanced Practice Midwife
- Accepts Insurance
- Medicare Quality Reporting
About SUSAN FISCHELS
This page provides the complete NPI Profile along with additional information for Susan Fischels, a provider established in Canton, Georgia with a medical specialization in Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1790882314 assigned on September 2006. The practitioner's primary taxonomy code is 367A00000X with license number 4282M (KY). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1790882314
- Provider Name
- SUSAN A. FISCHELS ARNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 227 RIVERSTONE DR CANTON, GA 30114
- Location Phone
- (770) 720-7733
- Location Fax
- (770) 720-7557
- Mailing Address
- 200 CLINIC DR MADISONVILLE, KY 42431
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-17-2006
- Last Update Date
- 02-04-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Advanced Practice Midwife
- Taxonomy Code
- 367A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4282M
- License State
- KY
- Taxonomy Description
- Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 367A00000X | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife | RN298285 (GA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 78011624 | MEDICAID (05) | KY | |
| 4282M | OTHER (01) | KY | LICENSE |
| 000000329595 | OTHER (01) | BCBS PIN |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 97% | 614 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 8 | 8 | 2 | 3 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 16 | 8 | 4 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 6 + 8 + 4 + 3 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1790882314 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720115389 | CHEROKEE WOMEN'S HEALTH SPECIALIST, P.C. Organization | Obstetrics & Gynecology | 227 RIVERSTONE DR CANTON, GA 30114 (770) 720-7733 |
| 1952538811 | BRITTON CRIGLER MD Individual | Obstetrics & Gynecology | 227 RIVERSTONE DR CANTON, GA 30114 (770) 720-7733 |
| 1821105073 | DR. MICHAEL J LITREL M.D. Individual | Obstetrics & Gynecology | 227 RIVERSTONE DR CANTON, GA 30114 (770) 720-7733 |
| 1033314422 | DR. PEAHEN H GANDHI M.D. Individual | Obstetrics & Gynecology (Obstetrics) | 227 RIVERSTONE DR CANTON, GA 30114 (770) 720-7733 |
| 1093787301 | MS. SUSAN F GRIGGS CNM Individual | Advanced Practice Midwife | 227 RIVERSTONE DR CANTON, GA 30114 (770) 720-7733 |
| 1578749172 | MS. RUTH MIRIAM ROSER RN CNM Individual | Advanced Practice Midwife | 227 RIVERSTONE DR CANTON, GA 30114 (770) 720-7733 |
| 1427271261 | DR. KATHRYN AZELIA HALE M.D.,M.P.H, FACOG Individual | Obstetrics & Gynecology | 227 RIVERSTONE DR CANTON, GA 30114 (770) 720-7733 |
| 1841526944 | DR. PUSHPA PHILLIPS MD Individual | Obstetrics & Gynecology | 227 RIVERSTONE DR CANTON, GA 30114 (770) 720-7733 |
| 1235634841 | ANSLEY STONE Individual | Obstetrics & Gynecology | 227 RIVERSTONE DR CANTON, GA 30114 (770) 720-7733 |
| 1639699853 | GABRIELLE MELISSA POWELL PA Individual | Physician Assistant (Medical) | 227 RIVERSTONE DR CANTON, GA 30114 (770) 720-7733 |
| 1295911006 | DR. LISA MCLEOD DO Individual | Obstetrics & Gynecology | 227 RIVERSTONE DR CANTON, GA 30114 (770) 720-7733 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790882314, enumerated in the NPI registry as an "individual" on September 17, 2006
The provider is located at 227 Riverstone Dr Canton, Ga 30114 and the phone number is (770) 720-7733
The provider's speciality is Advanced Practice Midwife with taxonomy code 367A00000X
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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