MRS. SUSAN HENDREN CNM
NPI 1629593165
Advanced Practice Midwife in Boise, ID

Active since August 06, 2017PECOS EnrolledAccepts Medicare Assignment
1072 N LIBERTY ST STE 100, BOISE, ID 83704(208) 302-1200(208) 302-1255 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1629593165
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMRS. SUSAN HENDRENCredential: CNM
Location Address1072 N LIBERTY ST STE 100Boise, ID 83704-8708
Mailing Address3340 E Goldstone DrMeridian, ID 83642-1026 · (208) 302-9342 · Fax (208) 367-5180
Fax(208) 302-1255
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 6, 2017
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
NPI 1629593165 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 ID · 72994
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.
1072 N LIBERTY ST STE 100, Boise, ID 83704

Secondary Practice Location 1

Location 1177 McNabb RdMoriarty, NM 87035-5433 · Phone (505) 917-6829

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2466712864
PECOS Enrollment IDI20180202001634
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.

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, SD
OwnershipGovernment - Federal
CMS Certification Number430098
LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County
Emergency services Birthing friendly

Physician 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.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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.

Advanced Practice Midwife
1072 N LIBERTY ST STE 100
BOISE, ID 83704
Physician Assistant (Medical)
1072 N LIBERTY ST STE 100
BOISE, ID 83704
Physician Assistant (Surgical)
1072 N LIBERTY ST STE 100
BOISE, ID 83704
Advanced Practice Midwife
1072 N LIBERTY ST STE 100
BOISE, ID 83704
Midwife
1072 N LIBERTY ST STE 100
BOISE, ID 83704
Advanced Practice Midwife
1072 N LIBERTY ST STE 100
BOISE, ID 83704
Obstetrics & Gynecology
1072 N LIBERTY ST STE 100
BOISE, ID 83704
Advanced Practice Midwife
1072 N LIBERTY ST STE 100
BOISE, ID 83704

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.

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.