Individual provider Active NPI

Miriam Cardenas, FNP

  • Family Nurse Practitioner
  • East Greenwich, RI
National Provider Identifier
1942893789
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03075 Issued in RI
Practice address
1050 Main St Unit 18
East Greenwich, RI 02818-3163
Phone
(401) 886-9669
Fax
(401) 886-9779
NPI assigned
Feb 12, 2021
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2371791 MA
Family Nurse Practitioner 363LF0000X APRN03075 RI Primary

Addresses

Primary practice location

1050 Main St Unit 18
East Greenwich, RI 02818-3163

Mailing address

1050 Main St Unit 18
East Greenwich, RI 02818-3163
Phone (401) 886-9669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20230414000424 RI Practitioner - Nurse Practitioner 0840665394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yestermorrow PCGroup PAC ID 8921153024, 7 clinicians

Practice addresses (Care Compare)

1050 Main St
Unit 18
East Greenwich, RI 02818-3163
Phone (401) 886-9669

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2371791MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yestermorrow PC CurrentSince Aug 1, 2024 Accepting new patients
C&S Anesthesia LLC CurrentSince Sep 1, 2023 Accepting new patients
Warwick Pain Associates LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

1050 Main St
Unit 18
East Greenwich, RI 02818
Phone (401) 886-0966

2870 Post Rd
Warwick, RI 02886
Phone (401) 298-8869

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1942893789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MAIN ST UNIT 18",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183163",
            "telephone_number": "401-886-9669",
            "fax_number": "401-886-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MAIN ST UNIT 18",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183163",
            "telephone_number": "401-886-9669",
            "fax_number": "401-886-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "MIRIAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2371791",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.