MICHELLE ALMEIDA SANTOS HANSEN
NPI 1548724610
Advanced Practice Midwife in Middlebury, VT
Quality Rating: 89.69 out of 100 score
NPI Status: Active since January 23, 2019
Contact Information
115 PORTER DR
MIDDLEBURY, VT
ZIP 05753
Phone: (802) 388-4701
- Individual
- Female
- Advanced Practice Midwife
- Accepts Insurance
- PECOS Enrolled
About MICHELLE SANTOS HANSEN
This page provides the complete NPI Profile along with additional information for Michelle Santos Hansen, a provider established in Middlebury, Vermont with a medical specialization in Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1548724610 assigned on January 2019. The practitioner's primary taxonomy code is 367A00000X with license number 101.0135189 (VT). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1548724610
- Provider Name
- MICHELLE ALMEIDA SANTOS HANSEN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 115 PORTER DR MIDDLEBURY, VT 05753
- Location Phone
- (802) 388-4701
- Mailing Address
- 115 PORTER DR MIDDLEBURY, VT 05753
- Mailing Phone
- (802) 388-4701
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-23-2019
- Last Update Date
- 05-18-2023
- Code Navigator
Location Map
Secondary Locations
- 45 Hudson Ave
Glens Falls, NY 12801
(518) 793-4477
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.
- 101.0135189
- License State
- VT
- 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 | F001914-1 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Michelle Santos Hansen 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
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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 05753 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.89
- Minimum New Patient Price $55.8
- Maximum New Patient Price $168.48
- Average New Patient Copayment $21.47
- Minimum New Patient Copayment $13.95
- Maximum New Patient Copayment $42.12
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.56
- Minimum Established Patient Price $18.08
- Maximum Established Patient Price $137.84
- Average Established Patient Copayment $17.39
- Minimum Established Patient Copayment $4.52
- Maximum Established Patient Copayment $34.46
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.69, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
-
Final Score: 89.69 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
-
Quality Score: 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 65.65
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 65.65
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Reviews for MICHELLE ALMEIDA SANTOS HANSEN
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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 | 5 | 4 | 8 | 7 | 2 | 4 | 6 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 14 | 2 | 8 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 4 + 2 + 8 + 6 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1548724610 is valid because the calculated check digit 0 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.
MR. DAYTON RAYMOND CONTOIS PT
Physical Therapist
115 PORTER DR
MIDDLEBURY, VT
ZIP 05753
CARL WADE COBB MD
Radiology
(Diagnostic Radiology)
115 PORTER DR
RADIOLOGY DEPARTMENT
MIDDLEBURY, VT
ZIP 05753
STEPHEN M KOLLER MD
Radiology
(Diagnostic Radiology)
115 PORTER DR
RADIOLOGY DEPARTMENT
MIDDLEBURY, VT
ZIP 05753
DORIS A RAYMOND NP
Clinical Nurse Specialist
(Emergency)
115 PORTER DR
PORTER HOSPITAL
MIDDLEBURY, VT
ZIP 05753
SCOTT D EISELE MASTERS OF PT
Physical Therapist
115 PORTER DR
PORTER HOSPITAL
MIDDLEBURY, VT
ZIP 05753
JESSICA S RACUSIN MD
Emergency Medicine
115 PORTER DR
PORTER HOSPITAL
MIDDLEBURY, VT
ZIP 05753
REBECCA MILLER OTRL
Occupational Therapist
115 PORTER DR
PORTER HOSPITAL
MIDDLEBURY, VT
ZIP 05753
THOMAS W YURISTA MD
Emergency Medicine
115 PORTER DR
PORTER HOSPITAL
MIDDLEBURY, VT
ZIP 05753
GREG A MANDEL PHYSICAL THERAPY
Physical Therapist
115 PORTER DR
PORTER HOSPITAL
MIDDLEBURY, VT
ZIP 05753
MICHAEL J KIERNAN MD
Emergency Medicine
115 PORTER DR
PORTER HOSPITAL
MIDDLEBURY, VT
ZIP 05753
ROBERT D PITTS MD
Emergency Medicine
115 PORTER DR
PORTER HOSPITAL
MIDDLEBURY, VT
ZIP 05753
ERIC JOHN SHUBERT
Pharmacist
115 PORTER DR
MIDDLEBURY, VT
ZIP 05753
NICOLE L. STONE CRNA
Nurse Anesthetist, Certified Registered
115 PORTER DR
MIDDLEBURY, VT
ZIP 05753
MS. HYLAH W PATTON PA
Physician Assistant
115 PORTER DR
MIDDLEBURY, VT
ZIP 05753
ERICA LYNN BELIDA CRNA
Nurse Anesthetist, Certified Registered
115 PORTER DR
MIDDLEBURY, VT
ZIP 05753
JULIE DUNBAR PT
Physical Therapist
115 PORTER DR
MIDDLEBURY, VT
ZIP 05753
CHAMPLAIN VALLEY ANESTHESIA, PLLC
Anesthesiology
115 PORTER DR
MIDDLEBURY, VT
ZIP 05753
CHAMPLAIN VALLEY ANESTHESIA PLLC
Anesthesiology
115 PORTER DR
MIDDLEBURY, VT
ZIP 05753
CHAMPLAIN VALLEY ANESTHESIA, PLLC
Anesthesiology
115 PORTER DR
MIDDLEBURY, VT
ZIP 05753
NICOLE ROHRIG RD
Dietitian, Registered
115 PORTER DR
MIDDLEBURY, VT
ZIP 05753
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548724610, enumerated as an "individual" on January 23, 2019.
The provider is located at 115 PORTER DR MIDDLEBURY, VT 05753 and the phone number is (802) 388-4701.
Advanced Practice Midwife with taxonomy code 367A00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
