MS. LESLIE S KUSHNER C.N.M.
NPI 1033478045
Midwife in Painesville, OH

NPI Status: Active since May 10, 2012

Contact Information

54 S STATE ST
SUITE 203
PAINESVILLE, OH
ZIP 44077
Phone: (440) 352-0608
Fax: (440) 352-0640

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  • Individual
  • Female
  • Years of Experience 27
  • Midwife
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LESLIE KUSHNER

This page provides the complete NPI Profile along with additional information for Leslie Kushner, a provider established in Painesville, Ohio with a medical specialization in Midwife and more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1033478045 assigned on May 2012. The practitioner's primary taxonomy code is 176B00000X with license number 001945 (NY). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1033478045
Provider Name
MS. LESLIE S KUSHNER C.N.M.
Gender
Female
Entity Type
Individual
Location Address
54 S STATE ST SUITE 203 PAINESVILLE, OH 44077
Location Phone
(440) 352-0608
Location Fax
(440) 352-0640
Mailing Address
728 N MAIN ST NEW SQUARE, NY 10977
Mailing Phone
(845) 354-9300
Medical School Name
OTHER
Graduation Year
1999
Is Sole Proprietor?
No
Enumeration Date
05-10-2012
Last Update Date
05-03-2023
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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

Midwife

Taxonomy Code
176B00000X
Type
Other Service Providers
License No.
001945
License State
NY
Taxonomy Description
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.

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)
1367A00000XPhysician Assistants & Advanced Practice Nursing Providers

Advanced Practice Midwife

COA.13031-NM (OH)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Catastrophic Pathway HMO 9200 - HMO
  • Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5400 for HSA - HMO
  • Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Leslie Kushner is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Leslie Kushner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3476868977

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20191024002129

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MS. LESLIE S KUSHNER C.N.M.

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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.
1033478045
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063871608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 8 + 7 + 1 + 6 + 0 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1033478045 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MARGIE M DELONG NP

Nurse Practitioner

(Women's Health)

54 S STATE ST
FAMILY PLANNING ASSOCIATION OF NORTHEAST OHIO SUITE 203
PAINESVILLE, OH
ZIP 44077

(440) 352-0608

FAMILY PLANNING ASSOCIATION OF NORTHEAST OHIO, INC.

Clinic/Center

(Family Planning, Non-Surgical)

54 S STATE ST
SUITE 203
PAINESVILLE, OH
ZIP 44077

(440) 352-0608

CYNTHIA PATRICIA DIDONATO

Social Worker

(Clinical)

54 S STATE ST
PAINESVILLE, OH
ZIP 44077

(440) 357-6740

LOIS K NOVIKOFF MSN

Registered Nurse

(Psychiatric/Mental Health)

54 S STATE ST
PAINESVILLE, OH
ZIP 44077

(440) 357-6740

LAURA M GARLISI MD

Psychiatry & Neurology

(Psychiatry)

54 S STATE ST
#204
PAINESVILLE, OH
ZIP 44077

(440) 357-6740

MR. THOMAS HAROLD COSS LISW

Social Worker

(Clinical)

54 S STATE ST
SUITE 204
PAINESVILLE, OH
ZIP 44077

(440) 357-6740

DR. ROBERT S. FORBES JR. D.C.

Chiropractor

54 S STATE ST
STE. 301
PAINESVILLE, OH
ZIP 44077

(440) 357-6200

LAKE COUNTY FREE MEDICAL CLINIC

Voluntary or Charitable

54 S STATE ST
SUITE 302
PAINESVILLE, OH
ZIP 44077

(440) 352-8686

LUCILLE ANN BERTINO RN

Registered Nurse

(Psychiatric/Mental Health)

54 S STATE ST
RM 204
PAINESVILLE, OH
ZIP 44077

(440) 357-6740

MARK ANTHONY RESTIFO

Registered Nurse

(Home Health)

54 S STATE ST
SUITE 204
PAINESVILLE, OH
ZIP 44077

(440) 357-6740

DR. BARBARA MATILDE RODRIGUEZ M.D.

Psychiatry & Neurology

(Psychiatry)

54 S STATE ST
STE 204
PAINESVILLE, OH
ZIP 44077

(440) 357-6740

SIGNATURE HEALTH INC

Pharmacy

(Long Term Care Pharmacy)

54 S STATE ST
PAINESVILLE, OH
ZIP 44077

(440) 578-8200

SIMONE KILGORE LPN

Licensed Practical Nurse

54 S STATE ST
PAINESVILLE, OH
ZIP 44077

(440) 578-8200

CHELSEY RODRIGUEZ

Case Manager/Care Coordinator

54 S STATE ST
PAINESVILLE, OH
ZIP 44077

(440) 578-8200

JOSEPH STANIC

Case Manager/Care Coordinator

54 S STATE ST
PAINESVILLE, OH
ZIP 44077

(440) 578-8200

CATHILIA RODRIGUEZ

Licensed Practical Nurse

54 S STATE ST
PAINESVILLE, OH
ZIP 44077

(440) 578-8200

TERESA HAMULAK

Registered Nurse

54 S STATE ST
PAINESVILLE, OH
ZIP 44077

(440) 578-8200

JENNIFER DOLL

Registered Nurse

54 S STATE ST
PAINESVILLE, OH
ZIP 44077

(440) 578-8200

KYLAN CAMPBELL

Case Manager/Care Coordinator

54 S STATE ST
PAINESVILLE, OH
ZIP 44077

(440) 578-8200

CARMYN DRYER

Case Manager/Care Coordinator

54 S STATE ST
PAINESVILLE, OH
ZIP 44077

(440) 578-8200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033478045, enumerated as an "individual" on May 10, 2012.

The provider is located at 54 S STATE ST SUITE 203 PAINESVILLE, OH 44077 and the phone number is (440) 352-0608.

Midwife with taxonomy code 176B00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.