Individual provider Active NPI

Miriam Kravitz, D.N.P., FNP-BC

  • Family Nurse Practitioner
  • Orleans, MA
National Provider Identifier
1376614859
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN/NP195664 Issued in MA
Practice address
3 Namskaket Road
Orleans, MA 02653
Phone
(508) 255-4050
Fax
(888) 448-6765
NPI assigned
Nov 13, 2006
Last updated
Apr 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 195664 MA
Nurse Practitioner 363L00000X RN/NP195664 MA
Family Nurse Practitioner 363LF0000X RN/NP195664 MA Primary

Addresses

Primary practice location

3 Namskaket Road
Orleans, MA 02653

Mailing address

3 Namskaket Road
Orleans, MA 02653
Phone (508) 255-4050

Other identifiers 3

IdentifierTypeStateIssuer
3539056OtherMACIGNA
923778OtherMATUFTS HEALTH PLAN
AA348737OtherMAHARVARD PILGRIM HEALTH CARE

Other names 1

  • Mrs. Miriam Kravitz-Murphy Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000723 MA Practitioner - Nurse Practitioner 0749172880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orleans Dermatology and Laser Therapies LLCGroup PAC ID 8325279540, 2 clinicians

Practice addresses (Care Compare)

3 Namskaket Rd
Orleans, MA 02653-3511
Phone (508) 255-4050

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN/NP195664MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans Dermatology & Laser Therapies, LLC Nurse Practitioner CurrentSince Dec 1, 2013 Accepting new patients

Locations

3 Namskaket Rd
Orleans, MA 02653
Phone (508) 255-4050

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1376614859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NAMSKAKET ROAD",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "02653",
            "telephone_number": "508-255-4050",
            "fax_number": "888-448-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 NAMSKAKET ROAD",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "02653",
            "telephone_number": "508-255-4050",
            "fax_number": "888-448-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "MIRIAM",
        "credential": "D.N.P., FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "195664",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN/NP195664",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN/NP195664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3539056",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "923778",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CARE",
            "identifier": "AA348737",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "KRAVITZ-MURPHY",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orleans, MA

Sources for this page

Verify at the official NPI Registry.