Individual provider Active NPI

Miriam Elon Plass, RN

  • Registered Nurse
  • Fort Irwin, CA
National Provider Identifier
1487616777
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
654477 Issued in CA
Practice address
USA- Meddac Attn: MCXK-PM-CHN
Box 105109
Fort Irwin, CA 92310
Phone
(760) 380-6027
Fax
(760) 380-5861
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 654477 CA Primary

Addresses

Primary practice location

USA- Meddac Attn: MCXK-PM-CHN
Box 105109
Fort Irwin, CA 92310

Mailing address

36851 Hayward Ave
Barstow, CA 92311-1630
Phone (760) 380-6027

Other names 1

  • Miss Miriam Elon Raines Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
654477CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487616777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36851 HAYWARD AVE",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923111630",
            "telephone_number": "760-380-6027",
            "fax_number": "760-380-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA- MEDDAC ATTN: MCXK-PM-CHN",
            "address_2": "BOX 105109",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-380-6027",
            "fax_number": "760-380-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASS",
        "first_name": "MIRIAM",
        "middle_name": "ELON",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "654477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "RAINES",
            "middle_name": "ELON",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Irwin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.