Charissa Gajete Bacena-Miano, MSN, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95002396 Issued in CA

Practice address

4000 Physicians Blvd Ste 101
Bakersfield, CA 93301-1284

Phone

(661) 327-0807

NPI assigned

Jun 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
• Adventist Health Delano Hospital, Delano, CA, CCN 050608

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1700803418
  Medicare reassignment Care Compare group
• Kern Cardiology Medical Group Inc

  • Cardiovascular Disease Physician
  • Bakersfield, CA
  • NPI 1306812508
  Medicare reassignment NPD
• Sumeet Bhinder MD Inc

  • Rheumatology Physician
  • Bakersfield, CA
  • NPI 1649584319
  Medicare reassignment
• Vipmd

  • Interventional Cardiology Physician
  • Bakersfield, CA
  • NPI 1124521018
  NPD

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

• Adventist Health Delano

  • General Acute Care Hospital
  • Delano, CA
  • NPI 1144237272
  Care Compare affiliation
• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508
  Care Compare affiliation

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1265813315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 PHYSICIANS BLVD STE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011284",
            "telephone_number": "661-327-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PHYSICIANS BLVD STE 101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011284",
            "telephone_number": "661-327-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACENA-MIANO",
        "first_name": "CHARISSA",
        "middle_name": "GAJETE",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsy Babbitt Ruggiero, PA-C
• Katie Layne Baca Diaz, RRT
• Paris Baca
• Robert T Baca Jr.
• Hegina Grace Medrozo Bacallo
• Back 2 Life Chiropractic Corp. David L. Halpain, D.C.
• Jeffrey Kyle Bacon, D.O.
• John Bacon, LCSW
• Nancy M.K. Bacon, LMFT
• David Bacus, FNP

• Nurse Practitioner in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.