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ANNE LISE SULLIVAN MUSSELMAN CNM
NPI 1275055980
Advanced Practice Midwife in Mishawaka, IN

Active since July 13, 2017PECOS Enrolled
95.21/100
CMS Quality Rating
3005 GRAPE RD STE B, MISHAWAKA, IN 46545(800) 769-0045 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2025, Nov 4, 2024, May 8, 2019 and 1 more (4 updates tracked since 2017).

About Anne Lise Sullivan Musselman Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNE LISE SULLIVAN MUSSELMAN CNM (NPI 1275055980) is an individual advanced practice midwife in Mishawaka, Indiana, licensed in Indiana (09000480A) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275055980
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameANNE LISE SULLIVAN MUSSELMANCredential: CNM
Location Address3005 GRAPE RD STE BMishawaka, IN 46545-2709
Mailing Address3005 Grape Rd Ste BMishawaka, IN 46545-2709
Phone(800) 769-0045
Sole ProprietorNo
Enumeration DateJuly 13, 2017
Last NPPES UpdateApril 25, 20254 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1275055980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in IN · 09000480A
Definition
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.
3005 GRAPE RD STE B, Mishawaka, IN 46545
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Other Identifiers 1

Medicaid05330983NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anne Lise Sullivan Musselman Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TORI DRIVER FNP
Nurse Practitioner (Family)
3005 GRAPE RD STE B
MISHAWAKA, IN 46545
St. Joseph County (574) 361-6276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anne Lise Musselman's NPI number?

The NPI number for Anne Lise Musselman is 1275055980. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Where is Anne Lise Musselman located?

Anne Lise Musselman practices at 3005 Grape Rd Ste B, Mishawaka, IN 46545. The listed phone number is (800) 769-0045.

What is Anne Lise Musselman's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Anne Lise Musselman enrolled in Medicare?

Yes. Anne Lise Musselman is registered in the Medicare PECOS enrollment system.

What insurance does Anne Lise Musselman accept?

Health plans from CareSource list Anne Lise Musselman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anne Lise Musselman was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.