Individual provider Active NPI

Maris Huffman, WHNP-BC

  • Women's Health Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1801324835
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
7025 Issued in CT
Practice address
10816 63Rd Rd
Forest Hills, NY 11375-1352
Phone
(718) 897-5331
Fax
(877) 389-3138
NPI assigned
Jun 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95620 CT
Women's Health Nurse Practitioner 363LW0102X 7025 CT Primary

Addresses

Primary practice location

10816 63Rd Rd
Forest Hills, NY 11375-1352

Mailing address

10816 63Rd Rd
Forest Hills, NY 11375-1352
Phone (718) 897-5331

Other practice location 1

10818 63rd Rd
Forest Hills, NY 11375-1352
Phone (718) 269-4990

Other practice location 2

2515 Crescent St
Astoria, NY 11102-4370
Phone (718) 269-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20180330000199 CT Practitioner - Nurse Practitioner 6103188289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95620CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
25-15 Crescent Street Medical PC PastSince Dec 26, 2021 Accepting new patients
Women'S Health Center, PC PastSince May 18, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maris.huffman.1@10170.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1801324835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 63RD RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751352",
            "telephone_number": "718-897-5331",
            "fax_number": "877-389-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 63RD RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751352",
            "telephone_number": "718-897-5331",
            "fax_number": "877-389-3138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10818 63rd Rd",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113751352",
            "country_code": "US",
            "telephone_number": "718-269-4990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 Crescent St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111024370",
            "country_code": "US",
            "telephone_number": "718-269-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "MARIS",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "95620",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "7025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.