Nathaniel Kravitz, RN, MN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201050130NP Issued in OR

Practice address

2045 Silverton Rd NE
Salem, OR 97301-0100

Phone

(503) 588-5351

Fax

(503) 585-4908

NPI assigned

Aug 10, 2009

Last updated

Jul 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Marion CountyGroup PAC ID 8123928017, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salem Hospital Hospital, Salem, OR, CCN 380051

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nathaniel.kravitz.1@17725.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marion County

  dba Marion County Health Department

  • Adult Mental Health Clinic/Center
  • Salem, OR
  • NPI 1528147782
  Medicare reassignment Care Compare group NPD
• Marion County

  dba Marion County Health and Human Services

  • Methadone Clinic
  • Salem, OR
  • NPI 1386706919
  NPD
• Pacific Recovery Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salem, OR
  • NPI 1578528915
  NPD (past)
• Recovery Road Inc

  dba Pacific Ridge Residential Alcohol and Drug Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Jefferson, OR
  • NPI 1326003773
  NPD (past)
• Valuecore Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Canby, OR
  • NPI 1093444622
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1053543066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 PACIFIC RIDGE LN SE",
            "city": "JEFFERSON",
            "state": "OR",
            "postal_code": "973529654",
            "telephone_number": "503-361-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 SILVERTON RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010100",
            "telephone_number": "503-588-5351",
            "fax_number": "503-585-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "RN, MN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "23426",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200841283RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201050130NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Krahler, DC
• Kathleen Krall
• Christa E Kramer, MA
• James Robert Kramer, DO
• Jill L Kramer, CADC II, QMHA
• Janine K Krebs, DPT
• Tristin Krei, ABOC
• Crysty Lee Kreidel
• Emily Kreifels
• Rosanna M Krenz, MED, MA

• Psychiatric/Mental Health Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.