Active NPI
Mary Kathryn Kramer, APRN, CNM
- Advanced Practice Midwife
- Covington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 3003379
- Practice address
- 1401 Madison Ave
Covington, KY 41011-3313 - Phone
- (859) 655-6100
- NPI assigned
- Aug 26, 2005
- Last updated
- Apr 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3003379 | KY | |
| Advanced Practice Midwife | 367A00000X | 3003379 | KY | Primary |
Addresses
Primary practice location
1401 Madison Ave
Covington, KY 41011-3313
Mailing address
215 E 11TH St
Newport, KY 41071-2203
Phone (859) 655-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78005535 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-5901
300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3003379 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| Healthpoint Family Care Inc | Current | Accepting new patients | |
| Healthpoint Family Care, Inc. | Current | Accepting new patients | |
| Summit Medical Group, Inc | Nurse Practitioner | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
1401 Madison Ave
Covington, KY 41011
Phone (606) 655-8034
401 E 20th St
Covington, KY 41014
Phone (859) 283-6600
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
215 E 11th St
Newport, KY 41071
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- mkramer145261@direct-prd.stelizabeth.com
Organizations & group practices 6
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.
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- Newport, KY
- NPI 1508889742
-
dba St. Elizabeth Healthcare
- Physician Assistant
- Erlanger, KY
- NPI 1932187937
Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- Wilmore, KY
- NPI 1689419608
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
-
dba St. Elizabeth Physicians
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617408000000",
"number": "1841283611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E 11TH ST",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712203",
"telephone_number": "859-655-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MADISON AVE",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113313",
"telephone_number": "859-655-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "MARY",
"middle_name": "KATHRYN",
"credential": "APRN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2021-04-03",
"certification_date": "2021-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3003379",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "KY",
"license": "3003379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78005535",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; 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.