Miles W Hartman, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2019018504 Issued in MO

Practice address

10420 Old Olive Street Rd
Creve Coeur, MO 63141-5914

Phone

(314) 692-8516

NPI assigned

Feb 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, FL, IL3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Research Associates PCGroup PAC ID 5597662080, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

62.06 of 100Reported as individual

Quality

28.61

Improvement activities

40

Cost

71.09

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 and National Provider Directory roles.

• Clinical Research Associates, PC

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1063632826

  IL, MO

  Medicare reassignment Care Compare group
• Vadim Baram MD, Inc.

  • Geriatric Psychiatry Physician
  • Saint Louis, MO
  • NPI 1770743189

  FL, IL, MO

  Medicare reassignment NPD
• Family Psychiatry LLC

  • Child & Adolescent Psychiatry Physician
  • Saint Louis, MO
  • NPI 1265956544
  NPD (past)

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1760948574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MERRIAM PKWY",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697096",
            "telephone_number": "618-792-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE STREET RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415914",
            "telephone_number": "314-692-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "MILES",
        "middle_name": "W",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019018504",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2013038580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Harrington, DPT
• Benjamin Harris, DO
• Brenda Harris, FNP
• Harry C Eggleston MD PC II
• Denis William Hartley Jr., D.C.
• Britney Jasa Hartog, BCABA
• Terry Hasenzahl, LMFT
• Mishell Hashmi, PSY.D.
• Heart Care Institute Affiliated Services, LLC
• Heart Care Institute Affiliated Services, LLC

• All providers in Creve Coeur, MO
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.