MRS. SUSAN HENDREN CNM
NPI 1629593165
Advanced Practice Midwife in Boise, ID
About Mrs. Susan Hendren Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SUSAN HENDREN CNM (NPI 1629593165) is an individual advanced practice midwife in Boise, Idaho, licensed in Idaho (72994) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Pine Ridge Ihs Hospital, and maintains a secondary practice location in Moriarty.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Susan Hendren Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Susan Hendren reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pine Ridge, SD 57770
- Reassigned Medicare billing, Texas enrollment
- 426 clinicians in this Medicare group
Kyle, SD 57752
- Reassigned Medicare billing, Texas enrollment
- 84 clinicians in this Medicare group
Wanblee, SD 57577
- Reassigned Medicare billing, Texas enrollment
- 58 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Pine Ridge Ihs Hospital
Acute Care Hospitals · Pine Ridge, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Susan Hendren's NPI number?
The NPI number for Susan Hendren is 1629593165. It was assigned to this individual provider in the NPPES registry on August 6, 2017.
Where is Susan Hendren located?
Susan Hendren practices at 1072 N Liberty St Ste 100, Boise, ID 83704. The listed phone number is (208) 302-1200.
What is Susan Hendren's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Susan Hendren enrolled in Medicare?
Yes. Susan Hendren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Susan Hendren's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Hendren reassigns Medicare benefits to 3 organizations: Pine Ridge Indian Health Service Hospital (Pine Ridge, SD), Pine Ridge Indian Health Service Hospital (Kyle, SD) and Pine Ridge Indian Health Service Hospital (Wanblee, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Hendren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Susan Hendren affiliated with any hospitals?
According to CMS data, Susan Hendren is affiliated with Pine Ridge Ihs Hospital.
When was this NPI record last updated?
The NPPES record for Susan Hendren was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mrs. Susan Hendren, CNM · NPI 1629593165
Advanced Practice Midwife physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since August 6, 2017.
## Identity
- **NPI:** 1629593165 (Entity type: Individual)
- **Enumerated:** August 6, 2017
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 72994 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1072 N LIBERTY ST STE 100, Boise, ID 83704-8708
- **Phone:** (208) 302-1200 · **Fax:** (208) 302-1255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pine Ridge Indian Health Service Hospital (NPI 1497786412, Pine Ridge, SD); Pine Ridge Indian Health Service Hospital (NPI 1003963497, Kyle, SD); Pine Ridge Indian Health Service Hospital (NPI 1962559518, Wanblee, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1629593165) · Data from the CMS NPPES public registry.