MRS. SUSAN HENDREN (CNM) – Advanced Practice Midwife, NPI 1629593165

MRS. SUSAN HENDREN (CNM) is a healthcare provider. based in Moriarty, New Mexico. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 72994 (ID). The NPI Number for MRS. SUSAN HENDREN (CNM) is 1629593165

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSAN HENDREN (CNM)
NPI
1629593165
Phone
(505) 917-6829
Address
177 MCNABB RD
Enumeration Date
6 August 2017
Last Update Date
16 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6054626155
Graduation Year
2017 (9 years ago)
PAC ID
2466712864
Group Practice PAC ID
4688654130
Professional Enrollment ID
I20180202001634
Address ID
SD575770290WA210XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

102 CERTIFIED NURSE MIDWIFE (CNM) in NM

Provider Addresses for MRS. SUSAN HENDREN (CNM)

  • 177 MCNABB RD

    MORIARTY, NM 870355433

    Phone: (505) 917-6829

    Type: Mailing

  • 177 McNabb Rd

    Moriarty, NM 870355433

    Phone: (505) 917-6829

    Type: Location

  • 3340 E GOLDSTONE DR

    MERIDIAN, ID 836421026

    Phone: (208) 302-9342

    Fax: (208) 367-5180

    Type: Mailing

  • 1072 N LIBERTY ST STE 100

    BOISE, ID 837048708

    Phone: (208) 302-1200

    Fax: (208) 302-1255

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180202001634ICertified Nurse Midwife (Cnm)TXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 87035)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688654130View full group profile
NameSpecialtyState
-CA
Diagnostic RadiologyME
General PracticeSD
Nurse PractitionerSD
Nurse PractitionerSD
-MT
Nurse PractitionerAL
P O D I A T R YAZ
O P T O M E T R YSD
Nurse PractitionerOK

Reviews

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Frequently asked questions

What NPI should I save for MRS. SUSAN HENDREN (CNM)?
Save NPI 1629593165 if you need a stable reference for MRS. SUSAN HENDREN (CNM).
Does this profile mean MRS. SUSAN HENDREN (CNM) is currently active?
Yes — MRS. SUSAN HENDREN (CNM) appears active in the national provider directory.
Does MRS. SUSAN HENDREN (CNM) list a primary specialty?
If you are matching referrals, note Advanced Practice Midwife for MRS. SUSAN HENDREN (CNM). Clinical services aligned with this taxonomy classification.
What location shows for MRS. SUSAN HENDREN (CNM)?
We surface Moriarty, New Mexico for MRS. SUSAN HENDREN (CNM) based on available NPPES addresses.
How can I contact MRS. SUSAN HENDREN (CNM)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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