Active NPI
Monica Mikael, DNP, AGPCNP-BC
- Adult Health Nurse Practitioner
- Weston, MA
National Provider Identifier
1265075345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 95022709
- Practice address
- 590 South Ave
Weston, MA 02493-2608 - Phone
- (781) 879-9229
- NPI assigned
- Oct 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95268638 | CA | |
| Registered Nurse | 163W00000X | RN2319730 | MA | |
| Primary Care Nurse Practitioner | 363LP2300X | RN2319730 | MA | |
| Adult Health Nurse Practitioner | 363LA2200X | 95022709 | CA | Primary |
Addresses
Primary practice location
590 South Ave
Weston, MA 02493-2608
Mailing address
590 South Ave
Weston, MA 02493-2608
Phone (781) 879-9229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
317 6TH Ave
Suite 400
Des Moines, IA 50309-4037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95268638 | CA | MD | Registered Nurse |
| RN2319730 | MA | MD | Registered Nurse |
| 95022709 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners PC | Single Specialty | Current | Accepting new patients |
| Openloop Healthcare Partners California PC | Single Specialty | Past | Accepting new patients |
| Albany ENT & Allergy Services PC | Single Specialty | Past | Accepting new patients |
Locations
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420
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.
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
MA, Single Specialty
-
- Otolaryngology Physician
- Albany, NY
- NPI 1205838729
Single Specialty
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1265075345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 SOUTH AVE",
"city": "WESTON",
"state": "MA",
"postal_code": "024932608",
"telephone_number": "781-879-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 SOUTH AVE",
"city": "WESTON",
"state": "MA",
"postal_code": "024932608",
"telephone_number": "781-879-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKAEL",
"first_name": "MONICA",
"credential": "DNP, AGPCNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-22",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95268638",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2319730",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "RN2319730",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95022709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.