Individual provider Active NPI

Micah Mae Kramer, PA 9107084

  • Physician Assistant
  • Wellington, FL
National Provider Identifier
1386088276
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9107084 Issued in FL
Practice address
3319 S State Road 7
Ste. 313
Wellington, FL 33449-8184
Phone
(561) 932-0699
Fax
(561) 721-8659
NPI assigned
Apr 22, 2013
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 9107084 FL Primary

Addresses

Primary practice location

3319 S State Road 7
Ste. 313
Wellington, FL 33449-8184

Mailing address

3319 S State Road 7
Ste. 314
Wellington, FL 33449-8184
Phone (561) 932-0699

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MICAH.KRAMER@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130607000026 FL Practitioner - Physician Assistant 4284872987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 965-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9107084FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Neurosurgery PastSince Feb 13, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: micah.kramer.1@18387.direct.athenahealth.com
  • Direct secure messaging: micah.kramer@hca4.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1386088276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 S STATE ROAD 7",
            "address_2": "STE. 314",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498184",
            "telephone_number": "561-932-0699",
            "fax_number": "561-721-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 S STATE ROAD 7",
            "address_2": "STE. 313",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498184",
            "telephone_number": "561-932-0699",
            "fax_number": "561-721-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "MICAH",
        "middle_name": "MAE",
        "credential": "PA 9107084",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9107084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICAH.KRAMER@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3319 S State Road 7",
            "address_2": "STE. 313",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334498184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.