Individual provider Active NPI

Mariah Arlene Pietrangelo, WHNP

  • Women's Health Nurse Practitioner
  • Ridgecrest, CA
National Provider Identifier
1144095886
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95027581 Issued in CA
Practice address
1011 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone
(760) 499-3640
Fax
(760) 499-7229
NPI assigned
Nov 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95027581 CA Primary

Addresses

Primary practice location

1011 N China Lake Blvd
Ridgecrest, CA 93555-3130

Mailing address

217 Rainshadow CT
Ridgecrest, CA 93555-7576

Other names 1

  • Mariah Arlene Ladd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240130003257 CA Practitioner - Nurse Practitioner 2264885821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgecrest Regional HospitalGroup PAC ID 9739099896, 94 clinicians

Practice addresses (Care Compare)

1011 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 446-6404

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 499-3899

Hospital & facility affiliations

  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital CurrentSince Jan 1, 2024 Accepting new patients
Ridgecrest Regional Hospital CurrentSince Jan 1, 2024 Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients

Locations

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1011 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 499-3360

Organizations & group practices 3

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1144095886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 RAINSHADOW CT",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935557576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553130",
            "telephone_number": "760-499-3640",
            "fax_number": "760-499-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRANGELO",
        "first_name": "MARIAH",
        "middle_name": "ARLENE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95027581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "LADD",
            "middle_name": "ARLENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.