Prima Mardhatillah Muzirman, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704248754 Issued in MI

Practice address

1780 E Parnall Rd
Jackson, MI 49201-7136

Phone

(517) 780-6004

NPI assigned

Sep 19, 2014

Last updated

Sep 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MI

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

Michigan State University College of Human Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bright Spot Counseling PLLCGroup PAC ID 4385995810, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bright Spot Counseling PLLC

  dba Bright Spot Counseling and EMDR Treatment Center

  • Multi-Specialty Clinic/Center
  • Farmington Hills, MI
  • NPI 1184105173
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1437551595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6346 BEECHFIELD DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115735",
            "telephone_number": "517-410-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 E PARNALL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017136",
            "telephone_number": "517-780-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZIRMAN",
        "first_name": "PRIMA",
        "middle_name": "MARDHATILLAH",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704248754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Murray
• Jade Murzyn, PA-C
• Savanna Marie Musbach, CFLE
• Mohammed Mushtaq Ahmed Hakim
• Saadiya Mushtaq, MD
• Moses Muzquiz Jr., MD
• My Doctor's Care Inc
• My Results Lab
• Allyson Myers
• Barry Morgan Myers, PA

• Family Nurse Practitioner in Jackson, MI
• Providers in Jackson, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.