Anne Lise Sullivan Musselman, CNM - Medicare Advanced Practice Midwife in Mishawaka, IN

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Anne Lise Sullivan Musselman, CNM is a medicare enrolled "Advanced Practice Midwife" in Mishawaka, Indiana. Her current practice location is 3005 Grape Rd Ste B, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (800) 769-0045.

Anne Lise Sullivan Musselman is licensed to practice in Indiana (license number 09000480A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275055980.

Contact Information

Anne Lise Sullivan Musselman, CNM
3005 Grape Rd Ste B,
Mishawaka, IN 46545-2709
(800) 769-0045
Not Available

Map and Direction




Provider's Profile

Full NameAnne Lise Sullivan Musselman
GenderFemale
SpecialityAdvanced Practice Midwife
Location3005 Grape Rd Ste B, Mishawaka, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275055980
  • Provider Enumeration Date: 07/13/2017
  • Last Update Date: 04/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3476807231
  • Enrollment ID: I20181114000188

Medical Identifiers

Medical identifiers for Anne Lise Sullivan Musselman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275055980NPI-NPPES
05330983MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 09000480A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Anne Lise Sullivan Musselman allows following entities to bill medicare on her behalf.
Entity NameSt Josephs Hospital Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815333
PECOS PAC ID: 9234043324
Enrollment ID: O20031113000400
Entity NameOb-gyn Associates Of Ithaca, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437229945
PECOS PAC ID: 5092780213
Enrollment ID: O20040901000086

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anne Lise Sullivan Musselman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Anne Lise Sullivan Musselman, CNM
3005 Grape Rd Ste B,
Mishawaka, IN 46545-2709

Ph: () -		Anne Lise Sullivan Musselman, CNM
3005 Grape Rd Ste B,
Mishawaka, IN 46545-2709

Ph: (800) 769-0045

Reviews and Comments


Advanced Practice Midwife Nurses in Mishawaka, IN

Jana Schenkel, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 420 W 4th St, Mishawaka, IN 46544
Phone: 574-307-7673    Fax: 574-307-7692
Tamara Ann Mcnally, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 420 W 4th St, Mishawaka, IN 46544
Phone: 574-252-0304    
Mrs. Judith A. Weaver-yoder, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 420 W 4th St, Mishawaka, IN 46544
Phone: 574-307-7376    Fax: 574-307-7692
Marianne Hoepfner, CNM, MSN
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 420 W 4th St, Suite 100, Mishawaka, IN 46544
Phone: 574-252-0300    Fax: 574-252-0303

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.